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首页> 外文期刊>BMC Psychiatry >Understanding experiences of and preferences for service user and carer involvement in physical health care discussions within mental health care planning
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Understanding experiences of and preferences for service user and carer involvement in physical health care discussions within mental health care planning

机译：在心理保健计划中了解服务使用者和护理人员参与物理保健讨论的经验和偏好

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Background People with severe mental illness suffer more physical comorbidity than the general population, which can require a tailored approach to physical health care discussions within mental health care planning. Although evidence pertaining to service user and carer involvement in mental health care planning is accumulating, current understanding of how physical health is prioritised within this framework is limited. Understanding stakeholder experiences of physical health discussions within mental health care planning, and the key domains that underpin this phenomena is essential to improve quality of care. Our study aimed to explore service user, carer and professional experiences of and preferences for service user and carer involvement in physical health discussions within mental health care planning, and develop a conceptual framework of effective user-led involvement in this aspect of service provision. Methods Six focus groups and four telephone interviews were carried out with twelve service users, nine carers, three service users with a dual service user and carer role, and ten mental health professionals recruited from one mental health Trust in the United Kingdom. Data was analysed utilising a thematic approach, analysed separately for each stakeholder group, and combined to aid comparisons. Results No service users or carers recalled being explicitly involved in physical health discussions within mental health care planning. Six prerequisites for effective service user and carer involvement in physical care planning were identified. Three themes confirmed general mental health care planning requirements: tailoring a collaborative working relationship, maintaining a trusting relationship with a professional, and having access to and being able to edit a living document. Three themes were novel to feeling involved in physical health care planning discussions: valuing physical health equally with mental health; experiencing coordination of care between physical-mental health professionals, and having a physical health discussion that is personalised. Conclusions High quality physical health care discussions within the care planning process demands action at multiple levels. A conceptual framework is presented which provides an evidence-based foundation for service level improvement. Further work is necessary to develop a new patient reported outcome measure to enable meaningful quantification of health care quality and patient experience.
机译：背景技术患有严重精神疾病的人比普通人群遭受的身体合并症更多，这可能需要在心理保健计划中采用量身定制的方法进行身体保健讨论。尽管与服务使用者和护理人员参与精神卫生保健计划有关的证据正在积累，但是目前对如何在此框架内优先考虑身体健康的理解仍然有限。了解利益相关者在心理健康护理计划中进行身体健康讨论的经验以及支持这种现象的关键领域对于提高护理质量至关重要。我们的研究旨在探讨服务使用者，护理人员和专业人士的服务体验，以及对服务使用者和护理人员参与精神卫生保健计划中的身体健康讨论的偏好，并建立有效的用户主导参与服务提供这一方面的概念框架。方法进行了六个焦点小组和四次电话访问，与十二名服务使用者，九名护理者，三名具有双重服务使用者和护理者角色的服务使用者，以及从英国一家精神卫生基金会招募的十名精神卫生专业人员。使用主题方法对数据进行分析，针对每个利益相关者组分别进行分析，并进行合并以进行比较。结果没有服务使用者或护理者回想起在精神卫生保健计划中明确参与身体健康讨论的情况。确定了有效的服务使用者和护理人员参与体育保健计划的六个先决条件。三个主题确认了精神保健计划的总体要求：量身定制协作工作关系，与专业人员保持信任关系以及可以访问并能够编辑生活文件。涉及身体保健计划讨论的三个主题是新颖的感觉：将身体健康与精神健康同等重视;在心理健康专家之间进行护理协调，并进行个性化的健康讨论。结论在护理计划过程中进行高质量的身体保健讨论需要在多个层面上采取行动。提出了一个概念框架，该框架为提高服务水平提供了基于证据的基础。为了制定新的患者报告结局指标，需要进行进一步的工作，以便对医疗质量和患者体验进行有意义的量化。

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