[1]宋锦,于凯,马锐,等.精神分裂症诊治延误患者就医体验的质性研究[J].军事护理,2023,40(11):70-73.[doi:10.3969/j.issn.2097-1826.2023.11.017]
　SONG Jin,YU Kai,MA Rui,et al.Medical Experience of Patients with Delayed Diagnosis and Treatment of Schizophrenia: A Qualitative Study[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(11):70-73.[doi:10.3969/j.issn.2097-1826.2023.11.017]
点击复制

精神分裂症诊治延误患者就医体验的质性研究
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年11期
页码:
70-73
栏目:
研究荟萃
出版日期:
2023-11-15

文章信息/Info

Title:
Medical Experience of Patients with Delayed Diagnosis and Treatment of Schizophrenia: A Qualitative Study
文章编号:
2097-1826(2023)11-0070-04
作者:
宋锦; 于凯; 马锐; 周郁秋
(哈尔滨医科大学 护理学院,黑龙江 哈尔滨 150081)
Author(s):
SONG Jin; YU Kai; MA Rui; ZHOU Yuqiu
(School of Nursing,Harbin Medical University,Harbin 150081,Heilongjiang Province,China)
关键词:
精神分裂症;  延迟;  就医;  质性研究
Keywords:
schizophrenia;  delay;  seeking medical care;  qualitative study
分类号:
R473.74
DOI:
10.3969/j.issn.2097-1826.2023.11.017
文献标志码:
A
摘要:
目的 深入了解精神分裂症诊治延误患者就医经历及内心体验,为制定针对性干预策略提供依据。方法 采取现象学研究方法,以目的抽样选取黑龙江省某三级甲等精神专科医院12名精神分裂症诊治延误患者进行半结构式访谈,使用Colaizzi 7步分析法对访谈资料进行分析和提炼。结果 精神分裂症诊治延误患者的就医体验共提炼出4个主题,包括疾病认知不足、就医信息缺乏、就医体验不佳以及家庭和工作牵绊。结论 精神分裂症诊治延误患者在就医过程中常存在众多障碍和多重需求,未来相关部门和医护人员应重视患者及医疗方面的问题并开展针对性干预,以改善患者就医体验,促使其及时就医。
Abstract:
Objective To understand the medical experiences of schizophrenia patients with delayed diagnosis and treatment, which can expand knowledge to help developing targeted intervention strategies.Methods A phenomenological research was conducted. Purposive sampling was used to select 12 patients with delayed diagnosis and treatment of schizophrenia in a tertiary A psychiatric hospital in Heilongjiang Province,and semi-structured interviews were conducted. The interview data were analyzed and extracted by Colaizzi 7-step analysis method.Results The experiences of care-seeking by schizophrenia patients with delayed diagnosis and treatment could be categorized into 4 themes: lack of awareness of the disease,lack of medical information,poor medical experience,and family and work constraints.Conclusions Schizophrenia patients with delayed diagnosis and treatment often have many obstacles and multiple needs in the process of seeking medical treatment. In the future,relevant departments and medical staff should pay attention to patients' medical problems and carry out targeted intervention to improve patients' medical experience and prompt them to seek medical treatment in time.

参考文献/References:

[1] 沈渔邨,陆林.精神病学[M].6版.北京:人民卫生出版社,2018:705-708.
[2] MURRU A,CARPINIELLO B.Duration of untreated illness as a key to early intervention in schizophrenia:a review[J].Neurosci Lett,2018,669(1):59-67.
[3] JIANG F,LIU T,ZHOU H,et al.Developing medical record-based,healthcare quality indicators for psychiatric hospitals in China:a modified Delphi-analytic hierarchy process study[J].Int J Qual Health Care,2019,31(10):733-740.
[4] RAN M S,XIANG M Z,LI S X,et al.Prevalence and course of schizophrenia in a Chinese rural area[J].Aust N Z J Psychiatry,2003,37(4):452-457.
[5] TANG Y L,SEVIGNY R,MAO P X,et al.Help-seeking behaviors of Chinese patients with schizophrenia admitted to a psychiatric hospital[J].Adm Policy Ment Health,2007,34(2):101-107.
[6] 汪宇昕,李小平,胡雪梅,等.不孕症患者就医行为与辅助生殖技术治疗效果的相关性[J].解放军护理杂志,2020,37(1):18-21.
[7] 张启文,肖水源,周亮,等.湖南省浏阳市农村社区精神分裂症患者就诊延误及其影响因素的研究[J].中华精神科杂志,2008,41(4):225-227.
[8] WANG X Q,WANG Y,YU K,et al.Experiences of care-seeking by schizophrenia patients with delayed diagnosis and treatment in rural China:a qualitative study[J].Int J Soc Psychiatry,2023,69(6):1453-1461.
[9] 刘明.Colaizzi七个步骤在现象学研究资料分析中的应用[J].护理学杂志,2019,34(11):90-92.
[10]JOA I,JOHANNESSEN J O,AUESTAD B,et al.The key to reducing duration of untreated first psychosis:information campaigns[J].Schizophr Bull,2008,34(3):466-472.
[11]GRIFFITHS K M,CHRISTENSEN H.Internet-based mental health programs:a powerful tool in the rural medical kit[J].Aust J Rural Health,2007,15(2):81-87.
[12]OLOFSSON B,JACOBSSON L.A plea for respect:involuntarily hospitalized psychiatric patients' narratives about being subjected to coercion[J].J Psychiatr Ment Health Nurs,2001,8(4):357-366.
[13]JIANG F,ZHOU H,HU L,et al.Compliance with the criteria of involuntary admission in China's mental health law:a national cross-sectional study of patients admitted to hospital involuntarily[J].Lancet,2018(392):9.
[14]MOHR P,GALDERISI S,BOYER P,et al.Value of schizophrenia treatment I:the patient journey[J].Eur Psychiatry,2018,53(1):107-115.
[15]XU Z,GAHR M,XIANG Y,et al.The state of mental health care in China[J].Asian J Psychiatr,2022,69(1):102975.
[16]VAN KLEEF G A,CÕTÉ S.The social effects of emotions[J].Annu Rev Psychol,2022,73(1):629-658.
[17]LIEN Y J,KAO Y C.Public beliefs and attitudes toward schizophrenia and depression in Taiwan:a nationwide survey[J].Psychiatry Res,2019,273(1):435-442.
[18]周菁鑫,姜丽萍,郑乔木,等.滇东南地区新生儿延迟就医影响因素的质性研究[J].解放军护理杂志,2022,39(2):5-8.
[19]LIANG D,MAYS V M,HWANG W C.Integrated mental health services in China:challenges and planning for the future[J].Health Policy Plan,2018,33(1):107-122.
[20]PRAHARSO N F,POLS H,TILIOPOULOS N.Mental health literacy of Indonesian health practitioners and implications for mental health system development[J].Asian J Psychiatr,2020,54(1):102168.

相似文献/References:

[1]王宇,李英丽,周郁秋.稳定期精神分裂症患者社区融合体验的质性研究[J].军事护理,2021,38(04):25.[doi:10.3969/j.issn.1008-9993.2021.04.007]
　WANF Yu,LI Yingli,ZHOU Yuqiu.Community Integration Experience of Patients with Schizophrenia in Stable Period: A Qualitative Study[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(11):25.[doi:10.3969/j.issn.1008-9993.2021.04.007]
[2]王晓庆,王宇,于凯,等.精神分裂症患者积极度的潜在类别与药物依从性的关系[J].军事护理,2022,39(10):44.[doi:10.3969/j.issn.2097-1826.2022.10.012]
　WANG Xiaoqing,WANG Yu,YU Kai,et al.Relationship Between the Latent Categories of Positivity and Medication Adherence in Patients with Schizophrenia[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(11):44.[doi:10.3969/j.issn.2097-1826.2022.10.012]

备注/Memo

备注/Memo:
【收稿日期】2022-11-29 【修回日期】2023-10-21
【基金项目】国家自然科学基金面上项目(72074063)
【作者简介】宋锦,硕士在读,护士,电话:0459-2796766
【通信作者】周郁秋,电话:0459-2796766
更新日期/Last Update: 2023-11-15