Faculties of Nursing, Chiang Mai University, Chiang Mai 50200, Thailand.
Nurs Health Sci. 2009 Sep;11(3):306-11. doi: 10.1111/j.1442-2018.2009.00474.x.
This study explored the perceptions of 18 people diagnosed with schizophrenia from 1-10 years to uncover how they perceived themselves and their illness. It also involved 12 family members who added their perceptions. The data were collected using in-depth interviews, reflective journaling, and observations. The data were analyzed through the lens of Heidegger's hermeneutic phenomenology. Four themes emerged: perceptions of mental illness, perceptions of the causes of illness, perceptions of discrimination, and attempting to live with schizophrenia. The findings included strong underlying cultural and spiritual beliefs, and attitudes unique to the Thai participants, including the causation of schizophrenia by supernatural powers, black magic, and bad karma stemming from past deeds. Understanding the perceptions of the participants might help health-care providers to be more sensitive to those living with schizophrenia in Thailand and elsewhere. In particular, the findings could be useful in informing psychiatric careproviders about developing better caring systems for clients diagnosed with schizophrenia. This should help the sufferers of schizophrenia to live their lives to their own satisfaction and as normally as possible.
本研究探讨了 18 名被诊断为精神分裂症的患者（患病时长 1-10 年）的看法，以了解他们如何看待自己和自己的疾病。还涉及了 12 名家庭成员的看法。研究采用深入访谈、反思性日志和观察法收集数据。通过海德格尔的解释学现象学视角进行数据分析。研究结果得出了四个主题：对精神疾病的看法、对疾病原因的看法、对歧视的看法以及与精神分裂症共存的尝试。研究结果包括强大的潜在文化和精神信仰，以及泰国参与者特有的态度，包括精神分裂症是由超自然力量、黑魔法和前世行为带来的恶业引起的。了解参与者的看法可能有助于医疗保健提供者更加关注泰国和其他地方的精神分裂症患者。特别是，这些发现可以为精神科护理人员提供信息，帮助他们为被诊断为精神分裂症的客户开发更好的护理系统。这将有助于精神分裂症患者尽可能满足地和正常地生活。
