Wynaden Dianne
Research and Development, School of Nursing and Midwifery, Curtin University of Technology, Perth, Western Australia, Australia.
Int J Ment Health Nurs. 2007 Dec;16(6):381-9. doi: 10.1111/j.1447-0349.2007.00493.x.
A substantive theory that explained the experience of caring for a person with a mental illness was developed using grounded theory methodology. When participants began caring, they were overwhelmed by the role and consumed by what was happening to the ill family member, to themselves, and to their family. This state was conceptualized as a social psychological problem called being consumed. In managing the experience of being consumed, all carers engaged in a social psychological process, call seeking balance. During this process, carers moved to a state where their commitment to the ill family member was more balanced and proportionate to other areas of their lives. The implications of this research include the need for increased collaboration between health professionals, policy makers, and carers along with the recognition that mental illness impacts on the individual, their family, and the community at many levels. The findings also provide health professionals with a valuable insight into caring. The need to decrease the stigma directed towards people with a mental illness is important to facilitate the person's integration into the community and sustain a cohesive level of family life. To support this, the general population requires increased education to be better prepared at a community level to effectively support the ill person and their family.
运用扎根理论方法构建了一个解释照顾患有精神疾病者经历的实质性理论。当参与者开始照顾时,他们被这个角色压得喘不过气来,被患病家庭成员、自己以及他们家庭所发生的事情所困扰。这种状态被概念化为一个叫做“被困扰”的社会心理问题。在应对被困扰的经历时,所有照顾者都参与了一个社会心理过程,即寻求平衡。在此过程中,照顾者进入到一种状态,他们对患病家庭成员的投入变得更加平衡,与生活中的其他方面更加相称。这项研究的意义包括卫生专业人员、政策制定者和照顾者之间需要加强合作,同时认识到精神疾病在多个层面影响着个人、其家庭和社区。研究结果还为卫生专业人员提供了关于照顾的宝贵见解。减少对患有精神疾病者的污名化对于促进其融入社区和维持家庭生活的凝聚力水平非常重要。为了支持这一点,普通大众需要更多教育,以便在社区层面做好更好的准备,有效地支持患病者及其家庭。