青少年精神障碍患者非自杀性自伤体验的质性研究

Experience of non-suicidal self-injury among adolescent mental disorder patients:a qualitative study

目的深入了解青少年精神障碍患者住院期间非自杀性自伤的心理感受,为制订针对性护理干预提供参考。方法采用目的抽样法选取住院期间发生非自杀性自伤行为的青少年精神障碍患者18例,对其进行半结构式访谈收集资料。采用Colaizzi 7步分析法提炼主题。结果提炼出4个主题,即难以应对的负性情绪,受症状支配,自我矛盾心理,求助动力不足。结论护理人员需关注青少年精神障碍患者非自杀性自伤的心理感受,重视患者情绪变化,加强社会支持,提供个性化心理护理,以防止自伤事件发生,保障患者安全。

Objective To deeply understand the psychological experience of non-suicidal self-injury in adolescent mental disorder patients during hospitalization,so as to provide reference for developing targeted nursing intervention.Methods Eighteen adolescents with mental disorders who conducted non-suicidal self-injury(NSSI)during hospitalization were selected using purposive sampling method,then semi-structured interview was conducted with them to collect data.The topic was extracted using Colaizzi′s 7-step analysis method.Results Four themes were identified,namely,unmanageable negative emotions,controlled by symptoms,self-ambivalence,and lack of motivation for seeking help.Conclusion Nursing staff should pay attention to the psychological feelings of adolescent mental disorder patients with non-suicidal self-injury and their emotion changes,strengthen social support,and provide personalized psychological nursing,so as to prevent non-suicidal self-injury and ensure the safety of patients.