Patients' perspectives on the experience of absconding from a psychiatric hospital: a qualitative study.
Patients' perspectives on the experience of absconding from a psychiatric hospital: a qualitative study.
复制标题
病人对从精神病院潜逃经验的看法：质性研究。
DOI：
10.1186/s12888-021-03382-0
复制
发表时间：
2021-07-26
期刊：
影响因子：
4.4
通讯作者：
Ashaba S
中科院分区：
文献类型：
--
作者：
Kaggwa MM;Acai A;Rukundo GZ;Harms S;Ashaba S
潜逃（即，在精神病院的精神病患者中，病人因在入院时所面对的经验而使用各种策略使潜逃成功。我们进行了一项研究，以确定病人的观点的经验，从精神病设施潜逃。我们进行了10次深入采访，病人从医院谁是在姆巴拉拉市乌干达姆巴拉拉地区转诊医院访问护理潜逃的历史。访谈录了音，必要时翻译，转录成英语，并按主题进行分析，以确定相关主题。参与者年龄从18岁到55岁不等，大多数（n = 9）为男性。大多数人至少两次从精神病院潜逃。我们确定了不同的经验，影响病人的参与从精神科医院病房潜逃。其中包括：（1）污名，（2）与照顾者的经历：复杂的情绪，（3）资源和服务不足，（4）精神疾病症状的影响。耻辱的孤独感，与失去重要角色相关的负面情绪，以及有限资源的压力，都是与潜逃有关的患者经历的一个突出部分。我们的研究结果表明，潜逃是一个更大问题的症状，精神卫生系统在其设计中延续了耻辱感，孤立患者并使他们感到孤独，并迫使患者依赖照顾者，这些照顾者在没有基本服务的设施中照顾他们并剥夺他们的所有自由。对于许多患者来说，这使得潜逃成为唯一的选择。在这样一个系统中，所有利益攸关方（决策者、医疗服务提供者、护理人员和患者）都应参与重新思考精神病设施应如何运作，以使患者康复之旅更加积极。在线版本包含补充材料，可通过10.1186/s12888-021-03382-0获得。
Absconding (i.e., escaping) is common among patients with mental illness admitted to psychiatric hospitals. Patients use various strategies to make absconding successful due to the experiences faced during admission. We conducted a study to identify patients’ perspectives on the experience of absconding from the psychiatry facility. We conducted 10 in-depth interviews with patients with a history of absconding from the hospital who were accessing care at the Mbarara Regional Referral Hospital in Mbarara city Uganda. Interviews were audio-recorded, translated when required, transcribed into English, and analyzed thematically to identify relevant themes. Participants ranged in age from 18 to 55 and the majority (n = 9) were male. Most had absconded at least twice from a psychiatric facility. We identified different experiences that influenced patients’ engagement in absconding from the psychiatry hospital ward. These included: (1) stigma, (2) experiences with caregivers: mixed emotions, (3) poor resources and services, and (4) the influence of mental illness symptoms. The loneliness of stigma, negative emotions associated with the loss of important roles given the nature and framework of caregiving on the psychiatric ward, as well as the stress of limited resources were a salient part of the patient experience as it relates to absconding. Our findings indicate that absconding is a symptom of a larger problem with a mental health system that perpetuates stigma in its design, isolates patients and makes them feel lonely, and forces patients to rely on caregivers who infantilize them and take away all their freedom in a facility with no basic services. For many patients, this makes absconding the only option. Within such a system, all stakeholders (policymakers, health-care providers, caregivers, and patients) should be involved in rethinking how psychiatric facilities should be operated to make the journey of patient recovery more positive. The online version contains supplementary material available at 10.1186/s12888-021-03382-0.
登录
查看更多内容
影响因子：
1
作者：
Arbee, Feroza;Subramaney, Ugasvaree
通讯作者：
Subramaney, Ugasvaree
影响因子：
7.5
作者：
Andoh, B
通讯作者：
Andoh, B
DOI：
10.1111/j.1447-0349.2009.00611.x
发表时间：
2009-10-01
影响因子：
5.6
作者：
Nurjannah, Intansari;FitzGerald, Mary;Foster, Kim
通讯作者：
Foster, Kim
影响因子：
4.4
作者：
Hunt, Isabelle M.;Windfuhr, Kirsten;Kapur, Nav
通讯作者：
Kapur, Nav
影响因子：
2.3
作者：
Brumbles, Dennis;Meister, Adina
通讯作者：
Meister, Adina