Noiseux Sylvie, St-Cyr Tribble Denise, Leclerc Claude, Ricard Nicole, Corin Ellen, Morissette Raymond, Lambert Roseline
Faculté des Sciences Infirmières, Université de Montréal, 2375 Chemin de la Côte Sainte-Catherine, CP 6128, succursale A, Montréal, Québec, Canada.
BMC Health Serv Res. 2009 May 1;9:73. doi: 10.1186/1472-6963-9-73.
The recovery process is characterized by the interaction of a set of individual, environmental and organizational conditions common to different people suffering with a mental health problem. The fact that most of the studies have been working with schizophrenic patients we cannot extend what has been learned about the process of recovery to other types of mental problem. In the meantime, the prevalence of anxiety, affective and borderline personality disorders continues to increase, imposing a significant socioeconomic burden on the Canadian healthcare system and on the patients, their family and significant other 1. The aim of this study is to put forward a theoretical model of the recovery process for people with mental health problem schizophrenic, affective, anxiety and borderline personality disorders, family members and a significant care provider.
To operationalize the study, a qualitative, inductive design was chosen. Qualitative research open the way to learning -- the inside -- about different perspectives and issues people face in their process of recovery. The study proposal is involving a multisite study that will be conducted in three different cities of the Province of Québec in Canada: Montréal, Québec and Trois-Rivières. The plan is to select 108 participants, divided into four comparison groups representing four types of mental health problem. Each comparison group (n = 27) will be made up of 9 units. Each unit will comprise one person with a mental health problem (schizophrenia, affective anxiety, and borderline personality disorders. Data will be collected through semi-structured open-ended interview. The in-depth qualitative analysis inspired from the grounded theory approach will permit the illustration of the recovery process.
The transformation of our Health Care System and the importance being put on the people well-being and autonomy development of the person who are suffering with mental problem This study protocol follows-up on earlier theory-building process that begun with the work of Noiseux 2. The contribution of the present study is to increase the comprehension of the concept of recovery and to enhance the body of knowledge in that domain. Very few studies have examined recovery and the one that did used a descriptive approach which did not take into account the perspective of the family members and the caregivers of the recovery process.
康复过程的特点是一组个体、环境和组织条件之间的相互作用，这些条件对于患有心理健康问题的不同人群来说是共有的。由于大多数研究一直围绕精神分裂症患者展开，我们无法将所学到的关于康复过程的知识推广到其他类型的心理问题上。与此同时，焦虑症、情感障碍和边缘性人格障碍的患病率持续上升，给加拿大医疗保健系统以及患者、其家人和重要他人带来了巨大的社会经济负担。本研究的目的是为患有精神分裂症、情感障碍、焦虑症和边缘性人格障碍的心理健康问题患者、家庭成员以及重要护理提供者提出一个康复过程的理论模型。
为实施本研究，选择了定性归纳设计。定性研究为了解人们在康复过程中面临的不同观点和问题开辟了道路。该研究计划是一项多地点研究，将在加拿大魁北克省的三个不同城市进行：蒙特利尔、魁北克市和三河城。计划选取108名参与者，分为代表四种心理健康问题类型的四个比较组。每个比较组（n = 27）将由9个单元组成。每个单元将包括一名患有心理健康问题的人（精神分裂症、情感性焦虑和边缘性人格障碍）。数据将通过半结构化开放式访谈收集。受扎根理论方法启发的深入定性分析将有助于阐明康复过程。
我们医疗保健系统的变革以及对患有心理问题者的福祉和自主性发展的重视 本研究方案是对早期始于努瓦瑟工作的理论构建过程的跟进。本研究的贡献在于加深对康复概念的理解，并丰富该领域的知识体系。很少有研究考察康复，而那些进行了考察的研究采用的是描述性方法，没有考虑到康复过程中家庭成员和护理者的观点。
