关键词: health perspectives holistic care mental health people living with mental illness physical health well‐being

来  源:   DOI:10.1111/inm.13393

Abstract:
Understanding the perspectives of regional people living with mental illness is crucial to adapting services, improving holistic care and meeting individual needs. This study explored people living with mental illness perceptions of physical health, mental health and well-being. A descriptive qualitative study design underpinned by empowerment theory was conducted. Qualitative data were collected verbally via semi-structured interviews, with demographic details provided verbally at the end of the interview. Thematic analysis was utilised to identify themes. The COREQ checklist was used for reporting. Fourteen participants admitted to regional mental health inpatient units aged between 25 and 84 years old were interviewed. Participants felt their overall well-being was good despite feeling their physical health or mental health was suboptimal, suggesting that their perceived well-being is influenced by factors beyond their physical and mental health. Most participants reported looking after their physical health, mental health and well-being and identified various behavioural lifestyle strategies they found helpful. Thematic analysis identified three themes: functioning well, feeling in control and meeting basic needs. Mental health services and clinicians play an important role in empowering people with mental illness to improve their physical health, mental health and well-being while admitted to inpatient services; however, it is acknowledged resources can be limited. Mental health services may consider referring people with mental illness to social prescribing programmes to meet their individualised needs on discharge.
摘要:
了解患有精神疾病的地区人群的观点对于适应服务至关重要,改善整体护理和满足个人需求。这项研究探索了患有精神疾病的人对身体健康的看法,心理健康和幸福。进行了以赋权理论为基础的描述性定性研究设计。定性数据是通过半结构化访谈口头收集的,在采访结束时口头提供了人口统计细节。利用专题分析来确定主题。COREQ核对表用于报告。采访了14位年龄在25至84岁之间的地区精神卫生住院患者。参与者认为他们的整体健康良好,尽管他们感到身体健康或心理健康欠佳,这表明他们的幸福感受到身体和心理健康之外的因素的影响。大多数参与者报告说照顾他们的身体健康,心理健康和福祉,并确定了他们发现有帮助的各种行为生活方式策略。专题分析确定了三个主题:运作良好、感觉在控制和满足基本需求。心理健康服务和临床医生在增强精神疾病患者改善身体健康方面发挥着重要作用,住院期间的心理健康和福祉;然而,这是公认的资源可以是有限的。精神卫生服务可以考虑将患有精神疾病的人转介给社会处方计划,以满足他们出院时的个性化需求。
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