Mauritz Maria, van Meijel Berno
Support and Psychosis Programme of the Mental Health Care Unit GGNet in Zevenaar, The Netherlands.
Arch Psychiatr Nurs. 2009 Jun;23(3):251-60. doi: 10.1016/j.apnu.2008.06.006. Epub 2009 Jan 20.
Schizophrenia enormously impacts the lives of the patients who have this psychiatric disorder. This study addresses the lived experience of grief in schizophrenia.
A qualitative study based on the grounded theory was designed. Ten patients were interviewed in depth on their feelings of loss and ways of coping.
All respondents experienced significant feelings of loss. Internal and external losses were distinguished. Respondents dealt with their losses by accepting their diagnosis and treatment, identifying with other patients, learning about schizophrenia, and searching for meaning.
Respondents were able to identify their significant losses and verbalize the accompanied feelings. They went through an intensive grieving process that to a certain extent led to coming to terms. During the interviews, the presence of grief was evident, whereas clinical depression was excluded.
Interventions may be improved by the following factors: (a) optimal assessment and treatment of symptoms; (b) adequate information about symptoms, treatment and its effects, and prognosis; (c) opportunities to identify with other patients; (d) strengthening of social support; and (e) a relationship of trust with care providers based on an accepting attitude.
精神分裂症对患有这种精神疾病的患者的生活产生巨大影响。本研究探讨精神分裂症患者的悲伤体验。
设计了一项基于扎根理论的定性研究。对10名患者就其失落感和应对方式进行了深入访谈。
所有受访者都经历了显著的失落感。区分了内在和外在的损失。受访者通过接受诊断和治疗、认同其他患者、了解精神分裂症以及寻找意义来应对他们的损失。
受访者能够识别出他们重大的损失，并说出伴随的感受。他们经历了一个强烈的悲伤过程，在一定程度上实现了和解。在访谈过程中，悲伤的存在很明显，而临床抑郁症被排除在外。
干预措施可通过以下因素得到改善：（a）对症状进行最佳评估和治疗；（b）提供关于症状、治疗及其效果以及预后的充分信息；（c）与其他患者认同的机会；（d）加强社会支持；（e）基于接纳态度与护理人员建立信任关系。
