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[亲属群体的利用]

[Utilisation of a group for relatives].

作者信息

Sibitz Ingrid, Schrank Beate, Amering Michaela

机构信息

Klinische Abteilung für Sozialpsychiatrie, Universitätsklinik für Psychiatrie und Psychotherapie, Medizinische Universität Wien.

出版信息

Neuropsychiatr. 2009;23(1):26-34.

Abstract

OBJECTIVE

Relatives of patients suffering from schizophrenia are a highly burdened group. While benefits of integrating them into routine care are internationally recognised only a fraction receive adequate interventions. The present study investigates the utilisation of an open group for relatives, variables potentially associated with it and relatives' reasons for and against its utilisation.

METHODS

147 relatives of in-patients and patients attending a day hospital where assessed using the General Health Questionnaire (GHQ), the Family Problem Questionnaire (FPQ), the WHO Quality of Life-BREF (WHOQOLBREF) and a questionnaire inquiring about the utilisation of an open group for relatives.

RESULTS

Overall, 60 relatives attended the group routinely offered at the hospital. Especially those with higher weekly contact time with patients, lower quality of life, higher subjective burden and a less positive attitude towards the patient were attenders. Important reasons to decline the offer were feelings of timidity, fear and shame, resignation and disavowal.

CONCLUSIONS

Despite their high burden, relatives have reservations about professional support intended for them and they feel highly stigmatised. Successful integration of relatives into psychiatric care requires empathy and strong commitment.

摘要

目的

精神分裂症患者的亲属是负担沉重的群体。虽然将他们纳入常规护理的益处已得到国际认可,但只有一小部分人得到了充分的干预。本研究调查了亲属对开放式团体的利用情况、与之可能相关的变量以及亲属支持或反对利用该团体的原因。

方法

使用一般健康问卷(GHQ)、家庭问题问卷(FPQ)、世界卫生组织生活质量简表(WHOQOLBREF)以及一份关于亲属对开放式团体利用情况的问卷,对住院患者和日间医院患者的147名亲属进行了评估。

结果

总体而言,60名亲属定期参加医院提供的团体。特别是那些与患者每周接触时间较长、生活质量较低、主观负担较重且对患者态度不太积极的亲属参加了该团体。拒绝参加的重要原因包括羞怯感、恐惧和羞耻感、顺从和否认。

结论

尽管亲属负担沉重,但他们对为其提供的专业支持有所保留,并且深感耻辱。要成功地将亲属纳入精神科护理,需要同理心和坚定的承诺。

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