综合医院急诊科医护人员接诊精神疾病患者真实体验的质性研究

Real experience of medical and nursing staff in Emergency Department of general hospitals in receiving patients with mental disorders:a qualitative study

目的:探讨综合医院急诊科医护人员接诊精神疾病患者的真实体验与感受,为制订相应的干预措施提供参考。方法:采用目的抽样法,于2021年10-11月选取南京市2家三级综合医院的16名急诊科医护人员进行半结构化深度访谈,采用Colaizzi分析法对资料进行分析。结果:分析访谈资料后提炼出3个主题,分别为治疗和护理精神疾病患者时的情感体验、为精神疾病患者提供最佳管理的障碍(环境/资源层面的障碍、急诊医护人员层面的障碍、患者层面的障碍),以及接诊精神疾病患者的相关教育需求(提高疾病意识和心理健康服务能力、改变思维方式)。结论:综合医院的急诊科医护人员在接诊精神疾病患者时存在不同程度的负性情绪,为患者提供心理健康服务时存在知识、能力不足和一系列障碍因素,管理者应采取多途径举措改善急诊就诊精神疾病患者的身心健康。

Objective To explore the real experience and feelings of the medical and nursing staff in the Emergency Department of general hospitals in receiving patients with mental disorders,so as to provide reference for formulating corresponding interventions.Methods From October to November 2021,a semi-structured in-depth interview was conducted with 16 Emergency Department medical and nursing staff from two ClassⅢgeneral hospitals in Nanjing by objective sampling.Colaizzi method was used to analyze the data.Results After analyzing the interview data,three themes were extracted,namely,the emotional experience in treating and nursing patients with mental disorders,the barriers to providing the best management for patients with mental disorders(barriers at the environment/resource level,barriers at the emergency medical and nursing staff level,and barriers at the patient level),and the educational needs of receiving patients with mental disorders(improving disease awareness and mental health service ability,and changing the way of thinking).Conclusions The medical and nursing staff in the Emergency Department of general hospitals have different degrees of negative emotions when receiving patients with mental disorders.There are insufficient knowledge and ability and a series of barriers when providing mental health services for patients.Managers should take various measures to improve the physical and mental health of patients with mental disorders in Emergency Department.