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首页> 外文期刊>BMC Psychiatry >Combining technical and expert-by-experience knowledge in the quest for personal recovery from bipolar disorder: a qualitative study
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Combining technical and expert-by-experience knowledge in the quest for personal recovery from bipolar disorder: a qualitative study

机译：结合技术和专家的知识在追求双相情感障碍的个人恢复中：定性研究

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BACKGROUND:Knowledge construction is a form of communication in which people can work individually or collaboratively. Peer support services have been adopted by the public psychiatric and social welfare service as a regular form of intervention since 2015 in Hong Kong. Peer-based services can help people with bipolar disorder (BD) deal with the implications of the diagnosis, the way in which individuals with BD receive treatment, and the lifestyle changes that take place as a result of the diagnosis. Through a qualitative paradigm, this study aims to examine how individuals with BD use technical and expert-by-experience knowledge.METHODS:A total of 32 clients of mental health services were recruited from hospitals, Integrated Community Centers for Mental Wellness, and non-governmental organizations. They participated in semi-structured individual interviews. All interviews were recorded, transcribed verbatim, and analyzed using thematic analysis with the aid of NVivo. The findings were verified by peer researchers.RESULTS:Three main themes are presented in this article, including how clients made sense of the knowledge provided by mental health professionals and peer support workers (PSWs), critical perspectives about peer support services, and the way in which the services are more than knowledge transfer alone. Participants generally indicated that knowledge sharing revolved around three experiences: mood changes, medications, and sense of hope. Nevertheless, an empathic understanding of the clients' experience was more important than the sharing of knowledge. Some clients perceived medication as the chief means to recovery, so PSWs were not useful for them. However, PSW role models had an effect beyond mere knowledge transmission, as they could promote clients' pursuit of functional recovery goals.CONCLUSIONS:The present study has improved our understanding of knowledge sharing between clients with BD and health professionals or PSWs, which should take place in an empathic and hope-instilling manner. It has also emphasized the value of the presence of a role model who can speak convincingly with clients to facilitate recovery. The present findings can be used to improve the care of people with BD by generating important guidance with regard to enhancing the knowledge exchange between clients and health practitioners.
机译：背景：知识建设是一种沟通形式，人们可以单独或协同地工作。公共精神病学和社会福利服务已采用同行支持服务，以自2015年在香港自2015年以来的定期干预形式。基于同行的服务可以帮助双极性障碍（BD）处理诊断的影响，以BD接受治疗的个人方式以及由于诊断而发生的生活方式改变。通过一个定性​​范式，本研究旨在审查与BD的个人如何使用技术和专家的知识。方法：从医院招募了32个心理健康服务，综合社区中心的精神健康，非政府组织。他们参加了半结构化个人访谈。所有面试都被记录，转录逐字，并通过NVivo使用主题分析分析。结果由同伴研究人员验证。结果：本文提出了三个主要主题，包括客户如何理解精神卫生专业人士和同行支持工人（PSW），关于同行支持服务的关键角度，以及对同行支持服务的关键观点其中服务不仅仅是知识转移。与会者通常表示，知识共享围绕着三种经验：情绪变化，药物和希望感。尽管如此，对客户经验的同情理解比知识的共享更重要。一些客户认为药物作为恢复的主要手段，因此PSW对他们来说并不有用。但是，PSW榜样的效果超出了知识传输，因为他们可以促进客户的追求功能恢复目标。结论：本研究提高了我们对客户与健康专业人士或PSW的知识共享的理解，应该采取以异常和希望灌输方式。它还强调了可能会令人信服地与客户说话以促进恢复的职位模型的价值。目前的研究结果可用于通过在加强客户与卫生从业者之间的知识交流方面产生重要指导来改善BD的人。

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