非自杀性自伤青少年患者父母真实体验的质性研究  

Qualitative research on the real experience of parents of adolescent patients with non-suicidal self-injury

作　　者：郜志远 尚超娜 严芳[2] 张俊蕾[3] 张冬红[4] Gao Zhiyuan;Shang Chaona;Yan Fang;Zhang Junlei;Zhang Donghong(Nursing Teaching and Research Office,the Second Affiliated Hospital of Xinxiang Medical University(Henan Provincial Psychiatric Hospital),Xinxiang 453002,China;Infection Control Department,the Second Affiliated Hospital of Xinxiang Medical University(Henan Provincial Psychiatric Hospital),Xinxiang 453002,China;Child and Adolescent Psychiatry Department,the Second Affiliated Hospital of Xinxiang Medical University(Henan Provincial Psychiatric Hospital),Xinxiang 453002,China;Nursing Department,the Second Affiliated Hospital of Xinxiang Medical University(Henan Provincial Psychiatric Hospital),Xinxiang 453002,China)

机构地区：[1]新乡医学院第二附属医院(河南省精神病医院)护理教研室,新乡453002 [2]新乡医学院第二附属医院(河南省精神病医院)感控部,新乡453002 [3]新乡医学院第二附属医院(河南省精神病医院)儿童青少年精神科,新乡453002 [4]新乡医学院第二附属医院(河南省精神病医院)护理部,新乡453002

出　　处：《中华现代护理杂志》2024年第12期1581-1586,共6页Chinese Journal of Modern Nursing

基　　金：2022年度河南省医学科技攻关计划软科学项目(RKX202202038)。

摘　　要：目的探讨非自杀性自伤青少年患者父母的真实体验及需求。方法采用描述性现象学研究方法。采用目的抽样法,选取2022年5—10月在新乡医学院第二附属医院(河南省精神病医院)就诊的20名非自杀性自伤青少年患者的父母进行半结构式访谈。采用Colaizzi 7步分析法对资料进行分析、归纳和提炼主题。结果非自杀性自伤青少年患者父母真实体验共归纳提炼出5个主题,分别为早期心理反应复杂、对家庭造成负面影响、渴望获得更多专业性支持、获益与成长、后期消极应对。结论医护人员应关注非自杀性自伤青少年患者父母心理健康及非自杀性自伤对家庭造成的负面影响,满足非自杀性自伤青少年患者父母情感及知识需求,尤其要重视其后期的消极应对,根据不同阶段制订针对性干预方案,达到构建良好的家庭康复环境,减少青少年非自杀性自伤行为的发生。Objective To explore the real experience and needs of parents of adolescent patients with non-suicidal self-injury.Methods Using the descriptive phenomenological research method.A total of 20 parents of non-suicidal self-injury adolescent patients who received treatment at the Second Affiliated Hospital of Xinxiang Medical University(Henan Provincial Psychiatric Hospital)from May to October 2022 were selected by purposive sampling for semi-structured interviews.Colaizzi 7-step analysis method was used to analyze,summarize and extract the subjects of the data.Results The real experience of parents of adolescents with non-suicidal self-injury could be summarized into five themes,which were complex psychological reaction in the early stage,negative impact on the family,desire for more professional support,benefit and growth and negative coping in the later stage.Conclusions Medical staff should pay attention to the mental health of parents of adolescents with non-suicidal self-injury and the negative effect of non-suicidal self-injury on their families,meet the emotional and knowledge needs of parents of adolescents with non-suicidal self-injury,especially pay attention to their negative coping in the later stage and formulate targeted intervention plans according to different stages,so as to build a good family rehabilitation environment and reduce the incidence of non-suicidal self-injury in adolescents.

关 键 词：自伤 非自杀性自伤 父母 青少年 真实体验 质性研究 

分 类 号：R473.74[医药卫生—护理学]