Chung Shan Medical University, Taichung, Taiwan.
J Fam Nurs. 2010 Feb;16(1):68-100. doi: 10.1177/1074840709358405.
Much of the existing research on caregiving in families of individuals with mental illness has been conducted in Western societies. Therefore, the purpose of this review was to critically examine research on caregiving in families of individuals with mental illness living in Taiwan, Hong Kong, and Mainland China. A search using computerized databases, public search engines, and references from retrieved articles revealed 37 studies published from 1990 to 2009. Four studies were theory driven at an individual level, and one study was guided by a family-level framework. Thirty-two articles were quantitative studies, and 5 were qualitative studies. All but 5 of 37 studies were cross-sectional. Findings suggest that misconceptions about mental illness, behavior disturbances, inadequate social support, and the limited value placed on caregiving contribute to maladaptation. Future research should include longitudinal studies guided by culturally appropriate family frameworks and studies using mixed methods.
许多关于精神疾病患者家庭照顾者的现有研究都是在西方社会进行的。因此，本综述的目的是批判性地检查生活在台湾、香港和中国大陆的精神疾病患者家庭照顾者的研究。通过计算机数据库、公共搜索引擎和检索文章的参考文献进行检索，共发现 1990 年至 2009 年发表的 37 项研究。其中四项研究是在个体层面上进行的理论驱动，一项研究是基于家庭层面的框架。32 篇文章是定量研究，5 篇是定性研究。除了 37 项研究中的 5 项外，其余都是横断面研究。研究结果表明，对精神疾病的误解、行为障碍、社会支持不足以及对照顾工作的重视有限，都会导致适应不良。未来的研究应该包括以文化上适当的家庭框架为指导的纵向研究，以及使用混合方法的研究。
