摘要
通过对近年来国内外临床医护人员对非自杀性自伤患者的态度研究进行文献综述,了解医护人员对自伤患者的态度及其影响因素,并探索可能的改善措施.结果显示,医护人员在照护自伤患者时存在对自伤进行负面归因、自伤污名化的认知情况,伴有焦虑、沮丧、无力感等情绪体验,并可能导致回避照护、弱化痛苦的行为倾向.影响医护人员态度的因素主要有教育和工作经验、医护环境以及患者的行为反应等.未来可以通过加强对医护人员的教育培训、成立精神卫生联络小组、对诊疗室进行空间改造等措施,优化医护人员对自伤患者的关怀与态度,为自伤患者提供支持性治疗环境.
Abstract
Through a global literature review of the attitudes of clinical medical staff towards patients with non-suicidal self-injury in recent years,this paper aims to understand the attitude of medical workers towards patients with self-injury and the influencing factors,and explore possible improvement measures.The results were that medical staff had negative attribution and stigmatization towards self-injury when ca-ring for patients with self-injury,accompanied by emotional experience such as anxiety,depression,and powerlessness,which might lead to a tendency to avoid care and weaken pain.The main factors influen-cing the attitude of medical staff were education and work experience,medical environment,and the be-havioral responses of patients.In the future,measures such as strengthening the education and training of medical staff,establishing a mental health liaison group,and spatial reconstruction of the consultation room can be taken to optimize the care and attitude of medical staff towards patients with self-injury,and provide a supportive treatment environment for patients with self-injury.