Remote care for mental health: qualitative study with service users, carers and staff during the COVID-19 pandemic.
Remote care for mental health: qualitative study with service users, carers and staff during the COVID-19 pandemic.
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精神健康的远程护理：与服务使用者，护理人员和员工的定性研究期间大流行期间。
DOI：
10.1136/bmjopen-2021-049210
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发表时间：
2021-04-22
期刊：
影响因子：
2.9
通讯作者：
Jones P
中科院分区：
文献类型：
--
作者：
Liberati E;Richards N;Parker J;Willars J;Scott D;Boydell N;Pinfold V;Martin G;Dixon-Woods M;Jones P
探索在COVID-19大流行期间寻求或提供二级精神健康服务的服务使用者、照顾者和员工的经验。质性访谈研究，与心理健康服务使用者和照顾者共同设计。我们进行了半结构化的，电话或在线访谈，有目的地构建的样本;生活经验的研究人员进行和分析服务用户的访谈。分析基于常数比较法。2020年6月至8月期间，英国国民健康服务（NHS）二级心理健康服务。在65名参与者中，20人在大流行期间获得或需要获得英国二级精神卫生保健; 10人是精神健康困难者的照顾者; 35人是大流行期间在NHS二级精神卫生服务工作的工作人员。远程护理的经验好坏参半。一些服务用户重视远程方法在与熟悉的临床医生保持联系方面的便利性。大多数参与者评论说，缺乏非语言线索和治疗的“安全空间”的损失挑战治疗关系的建立，评估和识别恶化的心理健康。一些照顾者感到被排除在远程会议之外，并担心没有他们的投入，评估是不完整的。与服务用户一样，远程方法对报告技术选择不确定性和缺乏培训的临床医生提出了挑战。所有群体都表示关切的是，交叉性加剧了不平等，如果失去远程护理的替代办法，一些服务用户群体将被排除在外。虽然远程精神卫生保健可能会在二级精神卫生服务中变得越来越普遍，但我们的研究结果强调了在这一领域采取量身定制的个人决策方法的持续重要性。进一步的研究应侧重于哪种类型的咨询最适合面对面的互动，为谁和为什么，以及哪些可以远程提供和通过何种媒介提供。
To explore the experiences of service users, carers and staff seeking or providing secondary mental health services during the COVID-19 pandemic. Qualitative interview study, codesigned with mental health service users and carers. We conducted semistructured, telephone or online interviews with a purposively constructed sample; a lived experience researcher conducted and analysed interviews with service users. Analysis was based on the constant comparison method. National Health Service (NHS) secondary mental health services in England between June and August 2020. Of 65 participants, 20 had either accessed or needed to access English secondary mental healthcare during the pandemic; 10 were carers of people with mental health difficulties; 35 were members of staff working in NHS secondary mental health services during the pandemic. Experiences of remote care were mixed. Some service users valued the convenience of remote methods in the context of maintaining contact with familiar clinicians. Most participants commented that a lack of non-verbal cues and the loss of a therapeutic ‘safe space’ challenged therapeutic relationship building, assessments and identification of deteriorating mental well-being. Some carers felt excluded from remote meetings and concerned that assessments were incomplete without their input. Like service users, remote methods posed challenges for clinicians who reported uncertainty about technical options and a lack of training. All groups expressed concern about intersectionality exacerbating inequalities and the exclusion of some service user groups if alternatives to remote care are lost. Though remote mental healthcare is likely to become increasingly widespread in secondary mental health services, our findings highlight the continued importance of a tailored, personal approach to decision making in this area. Further research should focus on which types of consultations best suit face-to-face interaction, and for whom and why, and which can be provided remotely and by which medium.
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影响因子：
6.1
作者：
Kichloo, Asim;Albosta, Michael;Chugh, Savneek
通讯作者：
Chugh, Savneek
影响因子：
10.5
作者：
Iob, Eleonora;Steptoe, Andrew;Fancourt, Daisy
通讯作者：
Fancourt, Daisy
新颖的冠状病毒（Covid-19）：在医疗危机，实施和挑战时期，远程医疗和远程护理。
影响因子：
3.6
作者：
Kronenfeld JP;Penedo FJ
通讯作者：
Penedo FJ
DOI：
10.1192/bjp.2020.212
发表时间：
2021-06
期刊：
The British journal of psychiatry : the journal of mental science
影响因子：
--
作者：
O'Connor RC;Wetherall K;Cleare S;McClelland H;Melson AJ;Niedzwiedz CL;O'Carroll RE;O'Connor DB;Platt S;Scowcroft E;Watson B;Zortea T;Ferguson E;Robb KA
通讯作者：
Robb KA
在COVID-19大流行期间使用远程医疗：Scoping Review。
影响因子：
7.4
作者：
Doraiswamy S;Abraham A;Mamtani R;Cheema S
通讯作者：
Cheema S