Needs

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  • 文章类型: Journal Article
    探讨我国精神科护士胜任后培训的现状和必要性,为精神科护士培训项目的制定提供参考。
    一种横截面设计。
    于2023年8月至10月对来自中国大陆24个省的34家医院的435名精神科护士进行了横断面研究。使用自我管理的问卷进行数据收集。描述性统计,非参数检验,数据分析采用卡方检验。
    精神科护士培训内容广泛,训练负荷很大。精神科护士对急救知识的培训要求很高,应急处理能力,和防暴技能。不同年限的护士有不同的培训需求。专科医院和综合医院对精神科护士的培训需求也不同。
    精神科护士的培训状况与需求不一致。管理者应将此与精神科护士自身工作需要相结合,制定切实有效的培训方案。
    UNASSIGNED: To investigate the current situation and need for post-competence training for psychiatric nurses in China and provide a reference for the development of training programs for psychiatric nurses.
    UNASSIGNED: A cross-sectional design.
    UNASSIGNED: A cross-sectional study was conducted from August to October 2023 with 435 psychiatric nurses from 34 hospitals in 24 provinces of mainland China. A self-administered questionnaire was used for data collection. Descriptive statistics, non-parametric tests, and chi-square tests were used for data analysis.
    UNASSIGNED: The training content for psychiatric nurses is extensive, and the training load is large. Psychiatric nurses have high training demands for first aid knowledge, emergency handling ability, and anti-riot skills. Nurses with different years of experience have different training needs. The training needs of psychiatric nurses in specialized and general hospitals also different.
    UNASSIGNED: The training status of psychiatric nurses is not consistent with the demand. Managers should combine this with psychiatric nurses\' own work needs to develop practical and effective training programs.
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  • 文章类型: Journal Article
    移植瘤患者静脉输液存在许多心理负担问题。然而,在文献中更多地关注它的并发症,心理问题很少被关注。目的探讨肿瘤患者静脉输液港植入后的心理状态和需求,为心理干预提供有价值的参考。
    对11名静脉输液端口患者进行了半结构化访谈。Colaizzi的7步分析用于分析访谈数据。
    根据主要信息,提取了四个主题和九个子主题:(1)缺乏自我价值,(2)多重情感体验(内疚,怀疑,担心,和增益)。(3)自我管理和自我维护意识差(过度依赖医务人员,不变的家庭角色,缺乏相关知识)。(4)对未来的期望和建议(内心的期望,输液端口的建议)。
    在管植入过程中应仔细监测患者的心理状态,缓解患者的紧张和焦虑情绪,提高护理满意度和患者预后。
    UNASSIGNED: There are many problems of psychological burden in patients with tumor implanted in port of intravenous infusion. However, more attention is paid to its complications in the literature, and psychological problems are seldom concerned. The purpose of this study was to explore the psychological state and needs of tumor patients after implantation of an intravenous infusion port and provide valuable references for psychological interventions.
    UNASSIGNED: A semi-structured interview was conducted with 11 patients with intravenous infusion ports. Colaizzi\'s 7-step analysis was used to analyze the interview data.
    UNASSIGNED: According to the primary information, four themes and nine sub-themes were extracted: (1) lack of self-worth, (2) multiple emotional experiences (guilt, doubt, worry, and gain). (3) Poor self-management and self-maintenance awareness (over-reliance on medical staff, unchanged family roles, lack of related knowledge). (4) Expectations and suggestions for the future (inner expectations, suggestions for infusion ports).
    UNASSIGNED: The patient\'s psychological state should be carefully monitored during tube implantation, to relieve the patient\'s tension and anxiety and improve nursing satisfaction and patient outcomes.
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  • 文章类型: Journal Article
    目的:尽管癌症患者的支持性治疗越来越受到重视,那些患有结肠直肠癌(CRC)的人需要特别注意他们的身体,心理,精神,和社会需求。然而,在满足CRC造口幸存者的支持性护理需求方面缺乏重大进展.为了弥合这个差距,我们进行了一项前瞻性纵向研究,以追踪有造口的CRC幸存者的支持性治疗需求趋势,并确定6个月内的任何预测因素.
    方法:在大连大学附属新华医院伤口和造口门诊进行前瞻性纵向研究,重点关注有造口的CRC幸存者。共有143名参与者完成了34项简短形式支持护理需求调查(SCNS-SF34-C(普通话))和造口并发症的自我报告问卷,第三,手术后第六个月。采用重复测量的方差分析来评估支持性护理需求的过程,将广义估计方程(GEE)应用于识别SCNS的预测因子。
    结果:三个时间点的支持性护理需求和5个维度得分均有统计学意义(P<0.05)。首先对患者的评级,第三,术后第6个月,患者护理和支持得分呈下降趋势,心理需求,身体和日常生活的需要,以及卫生系统和信息需求。然而,性需求得分呈增加趋势。较高水平的支持性护理需求通常与造口术后的短时间有关,高收入水平,居民医疗保险,配偶照顾者,其他慢性疾病,和造口并发症。
    结论:术后6个月后,幸存者的支持治疗需求呈现动态趋势。通过三轮,主要需求是卫生系统和信息需求。建议整合跨学科的卫生专业人员,并建立全面的支持和护理系统,以有效满足不同阶段的多样化需求。在手术后的第一个月和第三个月,应优先考虑造口术的个人,特别是那些收入水平较高的人,员工医疗保险,配偶照顾者,其他慢性疾病,和造口并发症。
    OBJECTIVE: Although there is a growing emphasis on supportive care for cancer patients, those with colorectal cancer (CRC) who have ostomies require special attention in terms of their physical, psychological, spiritual, and social needs. However, there has been a lack of significant progress in meeting the supportive care needs of CRC survivors with ostomies. To bridge this gap, we conducted a prospective longitudinal study to track the trends in supportive care needs among CRC survivors with ostomies and identify any predictors over 6-month period.
    METHODS: A prospective longitudinal study was conducted at the wound and stoma clinic of Dalian University Affiliated Xinhua Hospital, focusing on CRC survivors with ostomies. A total of 143 participants completed self-report questionnaires on the 34-item Short-Form Supportive Care Needs Survey (SCNS-SF34-C (Mandarin)) and stoma complications at the first, third, and sixth month after surgery. ANOVA with repeated measure was utilized to assess the course of supportive care needs, with Generalized Estimating Equation (GEE) applied to identify predictors of SCNS.
    RESULTS: The supportive care needs and five dimensions scores were statistically significant at three time points (P < 0.05). The ratings of patients at the first, third, and sixth month after surgery revealed a decreasing trend in the scores for patient care and support, psychological needs, physical and daily living needs, and health system and information needs. However, the score for sexual needs showed an increased tendency. Higher levels supportive care needs were generally connected with a short duration after ostomy, high income level, resident medical insurance, spouse caregiver, other chronic disease, and stoma complications.
    CONCLUSIONS: Survivors\' supportive care needs showed a dynamic trend over 6 months after surgery. Through three rounds, the primary needs were health system and information needs. It is recommended to integrate interdisciplinary health professionals and establish a comprehensive support and care system to effectively meet the diverse needs at different stages. Priority should be given to individuals with ostomies during the first and third month after surgery, particularly those with higher income levels, employee medical insurance, spouse caregivers, other chronic diseases, and stoma complications.
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  • 文章类型: Journal Article
    宫颈癌患者常见的心理支持护理需求,需要采取多种干预措施来增强心理健康并减轻身体症状。本系统综述,涵盖1999年1月至2023年4月的英文发表的文章,评估了心理支持护理干预对焦虑和抑郁的影响。二十六项研究,包括11,638名患者,被分析,包括随机对照试验;准实验性,和PubMed的测试前设计;科学直接;威利在线图书馆;谷歌学者;Cochrane图书馆;和JSTOR。数据的提取由两名独立作者完成,第三名独立作者检查数据提取。系统评价和荟萃分析(PRISMA)的首选报告项目,2020年通过。人口,干预,比较器,并应用结果(PICO)搜索策略。有效的公共卫生实践项目(EPHPP)工具用于评估选定文章的质量。各种干预措施,比如心理护理,锻炼,咨询,心理治疗方法,同伴和家庭教育,心理治疗,和药物,已确定。两项研究结合了家庭作业,主要由护理人员管理。抑郁自评量表(SDS)和焦虑自评量表(SAS)是常用的工具。统计分析显示,在所有研究中干预后,治疗组和对照组之间的焦虑和抑郁评分存在显着差异(p<0.005)。随后对八项同质研究进行了荟萃分析,利用随机效应模型,显示中等至高的总体效应大小(1.35,95%CI:0.75至1.94),表明具有统计学意义的积极影响。各种研究显示效果大小从低到高的可变性。虽然荟萃分析包括936名参与者,森林地块在视觉上表示单个研究效果大小和组合效果大小。初步证据支持心理支持护理干预对宫颈癌预后的积极影响,敦促进一步研究,特别是探索长期效应和采用严格的研究设计。
    Cervical cancer patients commonly experience psychological supportive care needs, necessitating diverse interventions to enhance psychological well-being and alleviate physical symptoms. This systematic review, covering English-published articles from January 1999 to April 2023, assessed the impact of psychological supportive care interventions on anxiety and depression. Twenty-Six studies, including 11,638 patients, were analyzed, comprising randomized controlled trials; quasi-experimental, and pre-post-test designs from PubMed; Science Direct; Wiley online library; Google Scholar; Cochrane Library; and JSTOR. The extraction of data was done by two independent authors and a third independent author checked the data extraction. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), 2020 statement was adopted. The population, intervention, comparator, and outcomes (PICO) search strategy was applied. Effective Public Health Practice Project (EPHPP) tool was used to assess the quality of selected articles. Various interventions, such as psychological nursing, exercise, counselling, psycho-curative approaches, peer and family education, psychotherapy, and medication, were identified. Two studies incorporated homework sessions, predominantly administered by nursing staff. Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) were commonly used instruments. Statistical analysis revealed a significant difference in anxiety and depression scores between treatment and control groups (p < 0.005) post-intervention across all studies. A subsequent meta-analysis of eight homogeneous studies, utilizing a random-effects model, showed a moderate-to-high overall effect size (1.35, 95% CI: 0.75 to 1.94), indicating a statistically significant positive impact. Various studies exhibited variability in effect sizes ranging from low to high. While the meta-analysis included 936 participants, the forest plot visually represents individual study effect sizes and the combined effect size. Preliminary evidence supports the positive impact of psychological supportive care interventions on cervical cancer outcomes, urging further research, especially exploring long-term effects and employing rigorous study designs.
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  • 文章类型: Journal Article
    背景:居住在养老院组织中的老年人渴望获得自愿帮助,然而,他们过去在志愿服务方面的经验还不够令人满意。更好地开展志愿服务,提高服务实效,有必要更深入地了解老年人志愿服务的经验和需求。
    方法:采用目的性抽样法,从杭州两个养老院组织中抽取14名老年人,进行半结构化访谈,采用Collaizzi的七步法对数据进行分析。
    结果:养老院组织中的老年人在接受志愿服务的过程中,既有有益的经历,也有不愉快的服务经历;有益的经历包括解决问题,满足需求,感受温暖和关怀,虽然不愉快的服务经历包括使其难以真正受益的形式,缺乏组织,规律性,可持续性以及服务提供与实际需求之间的不匹配。志愿服务的需求主要集中在情感安慰上,文化和娱乐,和知识获取。
    结论:养老院组织中的老年人有不同的自愿经历,他们的志愿服务需求是多样化的。应准确评估老年人的志愿服务需求,志愿服务活动应得到重视。
    BACKGROUND: Older adults living in nursing home organizations are eager to get voluntary help, however, their past experiences with voluntary services are not satisfactory enough. To better carry out voluntary services and improve the effectiveness of services, it is necessary to have a deeper understanding of the experiences and needs of older adults for voluntary services.
    METHODS: The purposive sampling method was used to select 14 older adults from two nursing home organizations in Hangzhou and conduct semi-structured interviews, Collaizzi\'s seven-step method was used to analyze the data.
    RESULTS: Older adults in nursing home organizations have both beneficial experiences and unpleasant service experiences in the process of receiving voluntary services; Beneficial experiences include solving problems meeting needs and feeling warmth and care, while unpleasant service experiences include the formality that makes it difficult to benefit truly, lack of organization, regularity, sustainability, and the mismatch between service provision and actual demands. The needs for voluntary services mainly focuses on emotional comfort, Cultural and recreational, and knowledge acquisition.
    CONCLUSIONS: Older adults in nursing home organizations have varied voluntary experiences, and their voluntary service needs are diversified. Voluntary service needs of older adults should be accurately assessed, and voluntary service activities should be focused upon.
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  • 文章类型: Systematic Review
    确定晚期帕金森病(PD)患者姑息治疗的经验和需求。
    范围界定文献综述方法,正如JoannaBriggs研究所所描述的,被用来搜索相关文献。从成立到2023年9月10日,在五个数据库中对英文发表的研究进行了电子搜索。
    搜索总共产生了1,205篇文章,有20人符合纳入标准。研究结果分为四个主题:(1)未满足的情感和信息需求;(2)有效协调护理的需求;(3)未来计划;(4)症状管理。本范围审查强调了PD患者姑息治疗的复杂性,并阐明了当前姑息治疗医疗保健系统中的问题。研究结果强调了个性化干预和服务的必要性,以解决PD患者的各种未满足的姑息治疗需求。
    这项研究揭示了晚期PD患者姑息治疗的复杂景观,强调现有医疗保健系统的不足之处。确定的主题强调了针对这一人群的各种未满足的姑息治疗需求的量身定制干预措施的重要性。
    UNASSIGNED: To determine the experiences and needs of palliative care in patients with advanced Parkinson\'s disease (PD).
    UNASSIGNED: A scoping literature review methodology, as described by the Joanna Briggs Institute, was employed to search for relevant literature. An electronic search of studies published in English was conducted across five databases from inception to 10 September 2023.
    UNASSIGNED: The search yielded a total of 1,205 articles, with 20 meeting the inclusion criteria. The findings were organized into four themes: (1) unmet emotional and informational needs; (2) needs for effective coordination of care; (3) planning for the future; and (4) symptom management. This scoping review highlights the intricate nature of palliative care for patients with PD and sheds light on issues within current palliative care healthcare systems. The findings emphasize the necessity for individualized interventions and services to address the diverse unmet palliative care needs of people with PD.
    UNASSIGNED: The study reveals the complex landscape of palliative care for individuals with advanced PD, emphasizing the inadequacies within existing healthcare systems. The identified themes underscore the importance of tailored interventions to address the varied unmet palliative care needs of this population.
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  • 文章类型: Journal Article
    目的:系统回顾和综合关于结直肠癌幸存者(CRC)术后未满足的康复需求的定性研究结果。
    方法:在PROSPERO注册的定性荟萃合成(CRD42022368837)。
    方法:CNKI文献,万方数据,PubMed,Scopus,Embase,科克伦,Medline,从每个数据库开始到2022年9月,对PsychINFO和CINAHL进行了系统搜索,以获得有关CRC幸存者手术后康复需求的定性研究。
    结果:最初共收集917份相关报告,最终纳入14项研究。共抽取49项需求,分为15类6项综合发现:(1)养成健康饮食习惯的需求;(2)运动动机和运动指导的需求;(3)重返工作岗位的矛盾需求;(4)未解决的生理需求;(5)精神需求;(6)多维社会支持的需求。
    不适用。
    OBJECTIVE: To systematically review and synthesize the findings of qualitative research on the unmet rehabilitation needs of colorectal cancer survivors (CRC) after surgery.
    METHODS: A qualitative meta-synthesis registered with PROSPERO (CRD42022368837).
    METHODS: CNKI, Wanfang Data, PubMed, Scopus, Embase, Cochrane, Medline, PsychINFO and CINAHL were systematically searched for qualitative studies on the rehabilitation needs of CRC survivors after surgery from the inception of each database to September 2022.
    RESULTS: A total of 917 relevant reports were initially collected and 14 studies were finally included. A total of 49 needs were extracted and divided into 15 categories in 6 integrated findings: (1) the need to adopt healthy eating habits; (2) the need for exercise motivation and exercise guidance; (3) the conflicting needs to return to work; (4) unaddressed physiological needs; (5) spiritual needs; (6) the need for multi-dimensional social support.
    UNASSIGNED: Not applicable.
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  • 文章类型: Journal Article
    背景:自我管理在青光眼患者的疾病管理中起着重要作用。该计划的有效性可以通过评估患者的观点和需要定制自我管理支持来提高。大多数研究都集中在评估这些自我管理行为之一,如药物依从性,缺乏对青光眼患者自我管理的支持需求和挑战的系统评估。因此,在这项研究中,我们对原发性青光眼患者的自我管理挑战和支持需求进行了深入的调查,为护理人员实施自我管理支持提供依据。
    方法:本研究采用现象学方法和半结构化访谈。2022年6月至12月共招募了20例原发性青光眼患者。采用Colaizzi的分析方法对访谈数据进行分析。
    结果:患者面临的挑战包括成为青光眼专家,管理负面情绪,适应日常生活变化,恢复社交活动。为了应对这些挑战,确定了患者自我管理支持需求的四个主题:(1)健康信息支持,(2)社会支持,(3)心理支持,(4)日常生活支持。
    结论:原发性青光眼患者在医疗方面会遇到不同程度的挑战,情感,和社会方面。了解患者的支持需求,医疗保健专业人员应该提供有针对性的,个性化和全面的自我管理干预措施,以增强患者的自我管理能力,改善其生活质量。
    BACKGROUND: Self-management plays an important role in the disease management of glaucoma patients. The effectiveness of the program can be improved by assessing the patient\'s perspective and needs to tailor self-management support. Most studies have focused on assessing one of these self-management behaviours, such as medication adherence, and there is a lack of systematic assessment of the support needs and challenges of self-management for patients with glaucoma. Therefore, in this study, we conducted an in-depth investigation into the self-management challenges and support needs of patients with primary glaucoma, providing a basis for nursing staff to implement self-management support.
    METHODS: The phenomenological method and semistructured interviews were used in this study. A total of 20 patients with primary glaucoma were recruited between June and December 2022. Colaizzi\'s analysis method was used to analyse the interview data.
    RESULTS: Challenges for patients include becoming an expert in glaucoma, managing negative emotions, adapting to daily life changes and resuming social activities. To address these challenges, four themes of patient self-management support needs were identified: (1) health information support, (2) social support, (3) psychological support, and (4) daily living support.
    CONCLUSIONS: Patients with primary glaucoma experience varying degrees of challenge in dealing with medical, emotional, and social aspects. Comprehending the support needs of patients, healthcare professionals should deliver targeted, personalized and comprehensive self-management interventions to enhance their capacity of patients to perform self-management and improve their quality of life.
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  • 文章类型: Journal Article
    在全球老龄化的背景下,慢性病的特点严重影响老年人的生活质量。对老年慢性病患者开展延续性护理基础迫在眉睫。鉴于中医药治疗慢性病疗效显著,本研究有助于了解老年慢性病患者对"互联网+中医"居家养老服务的需求及其影响因素,为提高老年慢性病人群的生活质量提供参考依据。
    这是一项混合研究。定量研究采用便利抽样的方法,对陕西省某三级医院308例患者进行一般资料问卷调查,中医药服务需求问卷,中医药知识问卷,中老年人中医态度问卷,和2022年3月至4月的家庭护理需求问卷。在定性研究中,采用半结构化访谈,和患者接受采访,直到内容饱和。采用Colaizzi分析方法对访谈数据的主题进行分析和总结。
    收集了308份有效问卷,患者对中医护理服务的需求得分为(58.42±17.16)分,(59.86±11.54)关于中医知识,(73.03±9.11)对中医的态度,家庭护理需求(136.84±46.39)。多元线性回归结果显示,学习护理服务路径,中医常识知识,老年人对中医的态度和居家护理需求是老年慢性病患者中医护理服务需求的影响因素(p<0.05)。深入访谈的结果被总结为三个主题:促进因素,阻碍因素,以及“互联网+中医”居家养老的多重需求。
    患有慢性病的老年成年患者对家庭护理需求的意愿很高,并且受到多种因素的影响。因此,应以老年慢性病患者的实际需求情况为导向,提供有针对性、多样化的中医居家养老服务,满足老年慢性病患者的个性化需求。
    In the context of global aging, the characteristics of chronic diseases seriously affect the quality of life of older adults. It is urgent to carry out continuous nursing basis for older adult patients with chronic diseases. In view of the remarkable efficacy of Chinese medicine in the treatment of chronic diseases, this study may help to understand the demand for \"Internet + Chinese medicine\" home care service and its influencing factors of older adult chronic disease patients, and to provide a reference basis for improving the quality of life of the older adult chronic disease population.
    This is a mixed study. The quantitative study adopted the convenience sampling method, and a total of 308 patients in a third-grade hospital in Shaanxi Province were investigated by general data questionnaire, traditional Chinese medicine service demand questionnaire, traditional Chinese medicine knowledge questionnaire, older adult Chinese medicine attitude questionnaire, and home care demand questionnaire from March to April 2022. In the qualitative study, semi-structured interviews were adopted, and patients were interviewed until the content was saturated. Colaizzi analysis method was used to analyze and summarize the topic of the interview data.
    308 valid questionnaires were collected, and the patients scored (58.42 ± 17.16) on the demand for TCM nursing services, (59.86 ± 11.54) on the knowledge of TCM, (73.03 ± 9.11) on the attitude toward TCM, and (136.84 ± 46.39) on the demand for home care. The results of multiple linear regression showed that learning about the nursing service pathway, knowledge of general knowledge of Chinese medicine, and attitude toward Chinese medicine among the older adult and home care demand were the influencing factors of the demand for Chinese medicine nursing services for older adult patients with chronic diseases (p < 0.05). The results of the in-depth interviews were summarized into three themes: facilitating factor, hindering factor, and the \"Internet + Chinese medicine\" multiple needs of home care.
    Older adult patients with chronic diseases have a high intention of home care demand and they are affected by multiple factors. Consequently, the actual demand situation of older adult patients with chronic diseases should be used as a guide to provide directed and diversified Chinese medicine home care services to meet the individualized needs of the older adult.
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  • 文章类型: Journal Article
    背景:中国的禁毒措施已经从警察干预和惩罚手段慢慢转向支持服务。然而,这个系统仍然是高度污名化的。帮助热线服务的出现是为了吸引吸毒者,家庭,和朋友,并在他们寻求康复时提供所需的支持。本研究旨在探讨求助热线期间表达的服务需求,操作员在响应不同需求时使用技术,和操作员在帮助热线工作的经验和意见。
    方法:我们使用两种数据来源进行了定性混合方法研究。一个来源是在中国一家毒品求助热线收集的47个通话录音,另一次是对18名求助热线操作员进行的五次个人和两次焦点小组访谈。采用六步专题分析方法,我们探索了需求表达和响应的模式,以及操作员与呼叫者互动的体验。
    结果:我们发现典型的来电者是吸毒者及其亲戚或朋友。呼叫者和操作员之间的互动涉及对参与毒品所产生的需求的表达和响应。信息和情感需求是最常见的。操作员会用不同的咨询技术来回应这些需求,例如提供信息,建议,正常化,聚焦,灌输希望。运营商开发了一套实践系统,如内部监督,案例摘要,听回来,提高能力,确保服务质量。求助热线的工作也促使他们对当前的禁毒系统进行了批判性的思考,并逐渐重塑了他们对所服务人群的看法。
    结论:从事接听求助电话的禁毒工作者采用不同的技术来促进来电者表达的需求。他们为吸毒者提供了急需的信息和情感支持,家庭,和朋友。帮助热线服务为参与毒品使用的人们开辟了一条私人渠道,以表达他们的需求,并在中国仍在污名化和惩罚性的禁毒系统中寻求正式帮助。在法定康复系统之外与匿名寻求帮助者合作的经验帮助求助热线的工作人员获得了对禁毒系统和吸毒者的独特反思。
    China\'s antidrug measures have been slowly shifting from police-intervention and punitive approaches to supportive services. However, the system is still highly stigmatizing. Helpline services emerged to engage drug users, families, and friends and provide needed support as they seek rehabilitation. This study aimed to explore service needs expressed during helpline calls, operators\' use of techniques when responding to different needs, and operators\' experiences working at and views toward the helpline.
    We conducted a qualitative mixed-method study using two sources of data. One source was 47 call recordings collected at a drug helpline in China, and the other was five individual and two focus group interviews conducted with 18 helpline operators. Using a six-step thematic analysis method, we explored the patterns of needs expression and response, and the operators\' experiences of interacting with callers.
    We found that typical callers were drug users and their relatives or friends. Interactions between the callers and operators involved the expression of and response to needs that emerged from involvement with drugs. Informational and emotional needs were the most common. Operators would respond to these needs with different counseling techniques, such as providing information, advising, normalizing, focusing, and instilling hope. The operators developed a system of practices, such as internal supervision, case summaries, and listening back, to enhance competence and ensure quality of services. The helpline work also prompted their critical reflections on the current antidrug system and gradually reshaped their views toward the population they serve.
    Antidrug workers who engaged in answering helpline calls employed varying techniques to facilitate callers\' expressed needs. They helped by providing much-needed informational and emotional support for drug users, families, and friends. Helpline services opened a private channel for people involved in drug use to express their needs and seek formal help in China\'s still stigmatizing and punitive antidrug system. Experiences working with anonymous help-seekers outside the statutory rehabilitation system helped workers at the helpline to gain unique reflective insight into the antidrug system and drug users.
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