该主题的知识是什么?:基于社区的精神卫生服务中面向恢复的实践越来越重要。精神疾病患者的康复之旅始于一种代理意识,与支持他们的提供者的治疗关系是先决条件。在日本,为精神病患者建立基于社区的综合护理系统被定位为优先健康问题,与熟悉的人沟通对于日本和亚洲文化的恢复特别重要。论文对现有知识有什么帮助?:这项研究首次研究了在精神疾病患者康复中个人代理的有效沟通因素,专注于解决治疗选择的不确定性和对决策的不满,并考虑用户的个人恢复之旅。在以恢复为导向的实践中,重要的是优先解决决策的情感方面以及精神疾病状况,在他们独特的恢复旅程中支持用户的自决。实践的含义是什么?:研究结果强调需要积极地与用户的观点和情感互动,强调共同的生活规划,并促进基于伙伴关系的治疗关系。提供者应该像药物处方一样谨慎地进行对话,优先考虑与用户建立有效的治疗关系。这些特征对于发展牢固的治疗关系和有效促进使用者的康复至关重要。调查结果不仅适用于护士,也适用于所有心理健康服务提供者,促进以恢复为导向的实践。
■简介:以社区为基础的精神卫生服务中的康复实践对于患有精神疾病的个人至关重要,与熟悉的人沟通对于日本和亚洲文化的恢复很重要。
目的:本研究旨在通过调查精神病患者通过沟通提供的感知支持与个人代理之间的关联,来检查个人代理在康复中的有效沟通因素。
方法:对居住在社区的日本精神卫生服务使用者进行了一项横断面研究,评估主观代理,决策冲突,员工支持个人康复,激活心理健康自我管理,人口统计学变量和生活困难。多元线性回归分析确定了预测主观能动性的因素,揭示用于恢复的有效提供商通信的特征。
结果:分析了222名用户的数据,揭示了治疗选择的不确定性与主观能动性较高的无效决策之间的负相关,而员工对个人康复的支持与较高的主观代理呈正相关。
结论:在面向恢复的实践中,在决策过程中优先考虑用户的情感体验,并在他们独特的恢复旅程中支持他们的自决是至关重要的。
结论:提供者应像药物处方一样谨慎地进行对话,优先考虑与用户的治疗伙伴关系。调查结果不仅限于护理,还涉及所有心理健康服务提供者,推进以恢复为导向的实践理论。
WHAT IS KNOWN ON THE SUBJECT?: Recovery-oriented practices in community-based mental health services are of increasing importance. The recovery journey of individuals with mental illness starts with a sense of agency, and a therapeutic relationship with the providers who support them is a prerequisite. In Japan, the construction of community-based integrated care systems for individuals with mental illness is positioned as a priority health issue, with communication with familiar individuals being particularly important for recovery in Japanese and Asian cultures. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This study is the first to examine effective communication factors for personal agency in the recovery of individuals with mental illness, focusing on addressing uncertainty about treatment choices and dissatisfaction with decision-making, and considering the user\'s personal recovery journey. In recovery-oriented practice, it is important to prioritize addressing the emotional aspects of decision-making alongside the mental illness condition, supporting users\' self-determination in their unique recovery journeys. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The findings emphasized the need to actively engage with users\' perspectives and emotions, emphasize shared life planning, and foster a therapeutic relationship based on partnership. Providers should approach dialogue as carefully as medication prescriptions, prioritizing the establishment of an effective therapeutic relationship with the user. These characteristics are essential for developing a strong therapeutic relationship and effectively facilitating users\' recovery. The findings are applicable not only to nurses but to all mental health service providers, contributing to the advancement of recovery-oriented practice.
UNASSIGNED: INTRODUCTION: Recovery-oriented practice in community-based mental health services is crucial for individuals with mental illness, with communication with familiar individuals being important for recovery in Japanese and Asian cultures.
OBJECTIVE: This study aimed to examine effective communication factors for personal agency in recovery by investigating the association between perceived support provided through communication and personal agency of individuals with mental illness.
METHODS: A cross-sectional study was conducted among community-dwelling Japanese mental health service users, assessing subjective agency, decisional conflict, staff support for personal recovery, activation for mental health self-management, demographic variables and living difficulties. Multiple linear regression analysis identified factors predicting subjective agency, revealing characteristics of effective provider communication for recovery.
RESULTS: Data from 222 users were analysed, revealing negative correlations between uncertainty about treatment choices and ineffective decision-making with higher subjective agency, while staff support for personal recovery positively correlated with higher subjective agency.
CONCLUSIONS: In recovery-oriented practice, prioritizing users\' emotional experiences during decision-making and supporting their self-determination in their unique recovery journeys is crucial.
CONCLUSIONS: Providers should approach dialogue as carefully as medication prescriptions, prioritizing therapeutic partnerships with users. The findings extend beyond nursing to all mental health service providers, advancing the theory of recovery-oriented practice.