This study aims to explore the experiences and needs of individuals after a first episode of psychosis with regard to the way in which information about diagnosis, treatment options and prognosis is communicated with them. psychosis, communicating, stigma, needs, individual’s perception
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Bespreking academisch proefschrift N. Boonstra (RU Groningen). Dit proefschrift heeft als centraal thema de vroegtijdige onderkenning van de eerste psychotische symptomen bij psychiatrische patiënten. Een centrale behandeldoelstelling hierbij is om de duur van de onbehandelde psychose (Duration of Untreated Psychosis, afgekort DUP) zo kort mogelijk te Iaten zljn. De DUP verwljst naar de tijd die verstrljkt tussen de eerste manifestatie van psychotische symptomen en het moment waarop een hlerblj passende behandeling start. Een kortere DUP blijkt samen te hangen met een betere prognose van de ziekte, zich ultend in een vroegere en betere remissie, minder psychotische terugval, minder cognitleve achteruitgang, minder psychotische symptomen en beter sociaal functioneren.
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Abstract Introduction: Postpartum psychosis is one of the severest psychiatric disorders to occur in the postpartum period. If it requires a woman’s admission, a psychiatric mother baby unit is recommended, where care will focus on the mother’s health, the mother-baby dyad, and their next of kin. To date, few studies have examined nursing interventions for patients with postpartum psychosis. Aim: Identifying nursing interventions used at a psychiatric mother baby unit, when a patient is hospitalized with postpartum psychosis. Method: A qualitative design using thematic analysis. Data was collected using semi-structured interviews (N=13) with expert nurses working at such a unit. Results: The analysis identified three themes: 1. Treatment of the mental disorder, which involves interventions to improve the mother’s mental and physical wellbeing; 2. Care for the mother-baby dyad, which involves interventions intended to promote safe interactions between mother and baby; and 3. Care for the partner, which involves interventions to improve the partner’s wellbeing. Discussion: Overall, within each of these themes, nurses described the urgency to tailor interventions to the needs of the patient, baby and partner. Implications to practice: Our comprehensive description of interventions can be used for the improvement of nursing care for patients hospitalized with postpartum psychosis.
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