Tactile massage as a nursing intervention in child and adolescent psychiatry: nurses' experiences

Tactile massage as a nursing intervention in child and adolescent psychiatry: nurses' experiences
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DOI:
10.1111/jpm.12332
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发表时间:
2016-10-01
影响因子:
2.7
通讯作者:
Rudolfsson, G.
Rudolfsson, G.
中科院分区:
医学3区
文献类型:
--
作者:
Robertz, A. -C.;Rudolfsson, G.

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简介:有有限的研究触觉按摩在儿童和青少年精神病学和没有研究调查的经验,提供触觉按摩在儿童和青少年psychiatry.Aim:的目的是,因此,描述护士的经验,提供触觉按摩作为一种护理干预儿童和青少年精神病学。方法:十名护士接受触觉按摩培训,并在瑞典五个不同的儿童和青少年精神病诊所雇用参加了定性研究。进行了半结构化访谈,逐字转录和定性内容分析。结果:从分析中出现了三个类别。“身心健康”、“建立信任关系”和“指导近亲进行触觉按摩”。关注和尊重儿童和青少年的正直对于与他们建立信任关系至关重要。触觉按摩被发现引发各种身体和心理过程中的儿童和青少年。护士反映了触觉按摩对他们的护理和对自己作为一个人的影响,指出这导致了自我反思和注意力的发展。对实践的启示:触觉按摩解决了个人的情绪和生理反应,因此可以为儿童和青少年精神病学带来整体护理。它也可能会提高儿童和青少年精神科护士在承认儿童和青少年在精神病护理方面的需求时的注意力和敏感性。
Introduction: There is limited research on tactile massage in child and adolescent psychiatry and no studies investigating experiences of providing tactile massage in child and adolescent psychiatry were found. Aim: The aim was therefore to describe nurses' experiences of providing tactile massage as a nursing intervention in child and adolescent psychiatry. Method: Ten nurses trained in tactile massage and employed at five different child and adolescent psychiatry clinics in Sweden participated in a qualitative study. Semi-structured interviews were conducted, transcribed verbatim and analysed by qualitative content analysis. Results: Three categories emerged from the analysis. 'Confirming body and mind', 'Building a trusting relationship' and 'Instructing next of kin in tactile massage'. Attentiveness to and respect for the integrity of the children and adolescents were essential for creating a trusting relationship with them. Tactile massage was found to trigger various physical and mental processes in the children and adolescents. The nurses reflected on the impact of tactile massage on their nursing and on themselves as a person, stating that it had led to the development of self-reflection and attentiveness. Implications for practice: Tactile massage addresses the individual's emotional and physiological responses and could therefore bring holistic nursing to child and adolescent psychiatry. It might also enhance attentiveness and sensitivity on the part of child and adolescent psychiatry nurses when acknowledging the needs of children and adolescents in psychiatric care.