伴非自杀性自伤行为心境障碍青少年患者照顾者体验的质性研究  

Qualitative Study on Experience of Caregivers of Adolescents with Mood Disorders and Nonsuicidal Self-injury

作　　者：王永娜[1] 吴艳[1] 刘丽华 杨丽莉 史方竹 郝雪鸽 WANG Yongna;WU Yan;LIU Lihua;YANG Lili;SHI Fangzhu;HAO Xuege(Beijing Huilong-guan Hospital,Beijing 100096)

机构地区：[1]北京回龙观医院,北京100096

出　　处：《上海护理》2024年第3期13-17,共5页Shanghai Nursing

基　　金：北京市医院管理中心“青苗”计划专项经费资助项目(QML20212003)。

摘　　要：目的 了解伴非自杀性自伤(NSSI)行为心境障碍青少年患者照顾者的内心体验和感受。方法2022年9-11月,采用目的抽样方法选取北京回龙观医院收治的14例伴NSSI行为心境障碍青少年患者的照顾者作为研究对象。采用现象学研究方法,对其进行面对面半结构式深度访谈,运用Colaizzi七步分析法对访谈资料进行分析。结果 针对伴NSSI行为心境障碍青少年患者照顾者的内心体验和感受共提炼出5个主题:(1)多重负性情绪体验;(2)照顾负担重;(3)疾病照护能力匮乏;(4)个人及家庭成长;(5)渴望专业帮助。结论 医护人员需关注伴NSSI行为心境障碍青少年患者照顾者的负性情绪及心理负担,通过专业干预提高其对疾病的认知、改善其家庭功能,从而协助其预防和减少心境障碍青少年患者NSSI行为的发生率。Objective To investigate the inner experience and feelings of caregivers of adolescents with mood disorders and nonsuicidal self-injury(NSSI).Methods From September to November 2022,caregivers of 14 adolescents with mood disorders and NSSI in Beijing Huilongguan Hospital were selected by purposive sampling.They were investigated by face-to-face semi-structured in-depth interviews using a phenomenological approach,and their interview data was analyzed using Colaizzi's seven-step analysis method.Results The following five themes were extracted regarding the inner experience and feelings of caregivers of adolescents with mood disorders and NSSI:①Experience of multiple negative emotions;②Heavy care burden;③Lack of care ability;④Personal and family growth;⑤Desire for professional assistance.Conclusion For caregivers of adolescents with mood disorders and NSSI,healthcare providers should pay attention to their negative emotions and psychological burden,and provide professional interventions to improve their understanding of relevant illnesses and their family function,thereby preventing and reducing the incidence of NSSI in adolescents with mood disorders.

关 键 词：非自杀性自伤 心境障碍 照顾负担 家庭功能 质性研究 

分 类 号：R473.74[医药卫生—护理学]