Patients' experiences of absconding from a psychiatric setting in Indonesia
Patients' experiences of absconding from a psychiatric setting in Indonesia
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DOI：
10.1111/j.1447-0349.2009.00611.x
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发表时间：
2009-10-01
影响因子：
5.6
通讯作者：
Foster, Kim
中科院分区：
文献类型：
--
作者：
Nurjannah, Intansari;FitzGerald, Mary;Foster, Kim
从精神病院潜逃是一个相对普遍的现象。然而，病人的潜逃经历在西方国家很少受到关注，在印度尼西亚也没有受到关注。采用混合方法进行了一项个案研究，以提供一个配置文件的潜逃事件超过1年的时间在印度尼西亚的精神病设置。在研究的定性阶段，在一个半结构化的访谈，16名潜逃的患者描述了他们的潜逃经历。确定了三个经验主题：对家园的呼唤、希望与现实、我们与他们。呼叫回家的主题描述了患者渴望与家人和他人联系并感到安全。希望和现实确定了病人对幸福的希望，而这种希望被家里和医院的生活现实所破灭。最后一个主题，我们和他们，描述了竞争的利益和不同的意见，病人与其他人，包括医院工作人员和家庭。有必要改变精神卫生政策和服务提供，以减少印度尼西亚的潜逃发生率，并使患者及其家人在社区生活时得到充分的支持。
Absconding from psychiatric institutions is a relatively common phenomenon. Yet patients' experience of absconding is a perspective that has received little attention in the West and none in Indonesia. A case study using mixed methods was undertaken in order to provide a profile of absconding events over a 1-year period in a psychiatric setting in Indonesia. In the qualitative phase of the study, in a semistructured interview, 16 patients who absconded described their experiences of absconding. Three themes of experience were identified: the call to home, hopes and realities, and us and them. The call to home theme described patients' eagerness to connect with family and others and to feel safe. Hopes and realities identified patients' hopes for happiness, which were dashed by the realities of life at home and in the hospital. The final theme, us and them, described the competing interests and different opinions of patients in relation to others including hospital staff and family. There is a need for changes to mental health policy and service provision in order to reduce the incidence of absconding in Indonesia and enable patients and their families to receive adequate support while living in the community.