Qualitative study on the reasons why patients with severe mental disorders and their family members refuse to participate in the community management and treatment service network
10.3760/cma.j.cn115682-20191101-03964
- VernacularTitle:严重精神障碍患者及家属拒绝参与社区管理治疗服务网络原因的质性研究
- Author:
Jianyan PENG
1
;
Yuchuan YUE
;
Yumin FU
;
Qingyun CHEN
;
Dongmei WU
Author Information
1. 成都市第四人民医院急性精神科一病区 610036：
- Keywords:
Mental disorders;
Qualitative research;
Community management and treatment service network
- From:
Chinese Journal of Modern Nursing
2020;26(14):1871-1874
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the reasons why patients with severe mental disorders and their family members refuse to participate in the community management and treatment service network.Methods:Totally 12 patients with severe mental disorders hospitalized and 7 family members in a ClassⅢ Grade A psychiatric hospital in Chengdu between January and May 2018 received semi-structural interviews using descriptive qualitative research methods. The content analysis and Nvivo 10.0 were used to organize and analyze the interview materials.Results:The five themes that affected refusal of patients with severe mental disorders and their family members to participate in the community management and treatment network were: poor perception of the patients, which covered the sub-themes of insufficient awareness of severe mental disorders and incorrect understanding of the community management and treatment service network; negative emotions of the patients and their family members, including the sub-themes of severe feelings of stigma and lack of trust; the patients and their family members actual needs were not met; the introverted personality traits of the patients; the decision-making game between the patients and the main caregiver of the family.Conclusions:Strengthening publicity, fully protecting the privacy of the patients, eliminating doubts, building a professional psychiatric prevention team, providing a diverse community management and treatment service network, and grasping the relevant drivers for the patient's refusal to participate in the community management and treatment service network can help enhance the enthusiasm of patients with severe mental disorders and their family members to participate in the community management and treatment service network.
