中国临床心理学杂志

慢性精神分裂症家属照护体验及负担的质性研究

作者：刘浉妍罗兴伟赵伟朱叶马晓倩任莎姚树桥王湘

单位：1. 中南大学湘雅二医院医学心理研究所长沙410011
2. 中南大学公共管理学院社会学系长沙410083

分类号：R395.2

出版年,卷(期):页码：2015,23(2):262-267

摘要：

目的:探讨精神分裂症照顾者在长期的照护过程中产生的各种内心体验,分析其产生原因,找出减轻患者家庭负担的有效方法,为改善家属的心理健康状况、创造有利于患者康复的家庭环境、开展社区干预工作提供参考。方法:对21名患者家属进行深度访谈,以质性研究中的现象学方法为指导对资料进行整理分析。结果:提炼出五大核心主题,分别是沉重的经济负担、恶化的家庭关系、过大的心理压力、生活内容乏味单一、对患者未来的忧虑。结论:对患者家属进行疾病教育及心理干预有利于减轻家属的负性体验、改善家庭关系,促进患者病情的稳定。

Objective:The aim was to explore the inner experience of schizophrenics' caregiver for their long-term caring of the patients, and find out the source of their feelings and then figure out some effective ways to lighten their family burden. This could help us to provide a reference for enhancing mental health of the patients' families, creating a better family environment for patients' recovery and developing community intervention.Methods:21 caregivers were conducted by in-depth interviews and then the interview data was categorized and interpreted by Phenomenological methodology.Results:Five main topics were refined , inlcuding 'Heavy economic burden', 'Worse family relationship', 'Too much psychological pressure', 'Single and boring lifestyle', and 'Fear for patients' future'.Conclusion:Psychointervention and health education for caregivers of schizophrenia will be beneficial to reducing caregivers' negative emotions and improving family relationship, and stabilizing the patient's condition.

基金项目：

本研究受到美国中华医学基金会(CMB)卫生政策与体系科学青年学者培训与研究资助项目(CMB991-09),以及教育部新世纪优秀人才支持计划(NCET-12-0557)资助

作者简介：

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