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精神分裂症患者父母在12个月内的主观负担

Subjective burden over 12 months in parents of patients with schizophrenia.

作者信息

Jungbauer Johannes, Wittmund Bettina, Dietrich Sandra, Angermeyer Matthias C

机构信息

Department of Medical Psychology and Medical Sociology, University of Leipzig, Germany.

出版信息

Arch Psychiatr Nurs. 2003 Jun;17(3):126-34. doi: 10.1016/s0883-9417(03)00056-6.

Abstract

This is a follow-up study aimed at investigating subjective burden in parents of patients with schizophrenia during a 12-month period. Using a narrative interview technique, parents were questioned regarding the subject of illness-related burden; follow-up interviews were conducted after 6 and 12 months, respectively. Forty-seven interview sets were examined with the aim of determining different types of burden development. The analysis yielded the following six developmental types: (1). constantly high level of burden; (2). increased burden; (3). reduced burden; (4). shifting burden; (5). preeminence of other burdens; and (6). constantly low level of burden. In general, changes in the parents' burden level are closely interconnected with the illness curve of the patients, with 40% of the study participants experiencing a constantly high level of burden during the course of the study. The results suggest that parents of continuously and severely affected patients are overloaded with their long-term caring tasks. Particularly for these extremely strained parents, practical and psychologic assistance should be provided.

摘要

这是一项随访研究,旨在调查精神分裂症患者父母在12个月期间的主观负担。采用叙事访谈技术,就与疾病相关的负担主题对父母进行询问;分别在6个月和12个月后进行随访访谈。对47组访谈进行了检查,目的是确定不同类型的负担发展情况。分析得出以下六种发展类型:(1)持续高负担水平;(2)负担增加;(3)负担减轻;(4)负担转移;(5)其他负担占主导;(6)持续低负担水平。总体而言,父母负担水平的变化与患者的疾病曲线密切相关,40%的研究参与者在研究过程中经历了持续高负担水平。结果表明,持续且严重受影响患者的父母因长期护理任务而不堪重负。尤其对于这些极度紧张的父母,应提供实际和心理援助。

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