Chang Hsiu-Ju, Chang Chun-Ju, Lin Ching-Rong, Chan Tan-Hsuan, Shiau Shu-Jen
College of Nursing, Taipei Medical University.
Hu Li Za Zhi. 2008 Feb;55(1):43-54.
The purpose of this study was to explore by means of the phenomenological method the effect of family nursing on the experience of six adolescent offspring living with schizophrenic fathers. Data were collected by family intervention with low structured interview. Three themes of the lived experience of adolescents were identified: stalemate, coping and transcendence. The sub-dimensions of stalemate included encounter with "sick father" and unstable emotion, which resulted from the negative impacts of the father's illness. The sub-dimensions of coping included "sick father" or "my father", being with "sick father", trying to take care of "sick father", identification and differentiation, and the reformulation of "my father". These sub-dimensions emerged after family intervention and included coping in cognition, emotion, and behaviors. The sub-dimensions of transcendence included positive attitude toward psychiatric patients, caring for father's disease and medications, and family life restructuring. The findings from this study could help psychiatric mental health nurses to apply family interventions in order to gain a better understanding of the lived experience of children living with schizophrenic fathers and to enable them to cope positively with the father's disease.
本研究旨在通过现象学方法探讨家庭护理对六位与患精神分裂症父亲同住的青少年子女经历的影响。数据通过家庭干预和低结构化访谈收集。确定了青少年生活经历的三个主题：僵局、应对和超越。僵局的子维度包括与“患病父亲”的相遇和情绪不稳定，这是由父亲疾病的负面影响导致的。应对的子维度包括“患病父亲”或“我的父亲”、陪伴“患病父亲”、试图照顾“患病父亲”、认同与分化以及对“我的父亲”的重新认知。这些子维度在家庭干预后出现，包括认知、情感和行为方面的应对。超越的子维度包括对精神疾病患者的积极态度、关心父亲的疾病和药物治疗以及家庭生活重构。本研究的结果有助于精神心理健康护士应用家庭干预，以便更好地理解与患精神分裂症父亲同住的儿童的生活经历，并使他们能够积极应对父亲的疾病。
