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旅途即目的地:共病患者家庭的康复模式。

Journey as destination: a recovery model for families affected by concurrent disorders.

机构信息

Addictions Program, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. caroline_o'

出版信息

Qual Health Res. 2012 Aug;22(8):1047-62. doi: 10.1177/1049732312443736. Epub 2012 May 18.

DOI:10.1177/1049732312443736
PMID:22609633
Abstract

We conducted a study offering peer support and education to members of families affected by concurrent disorders (CD). This article is an analysis of the qualitative data from a mixed methods study. Using constructivist grounded theory, we analyzed semistructured interviews with participants, with half attending a 12-week support group and reading weekly workbook assignments, and the others receiving the workbook only and being interviewed 3 months later. We developed a model that describes family journeys into, through, and beyond CD, involving three phases connected by two transitional constructs. Preoccupation with the unresolved CD of an ill family member characterized the journey into and through illness, the first two phases, whereas renewal characterized the passage from illness to journeying on toward recovery. Participants had strong comments about health care providers and the service system, and spoke of the need for self-care, empowerment, support, and inclusion.

摘要

我们开展了一项研究,为同时患有障碍(CD)的家庭提供同伴支持和教育。本文是对混合方法研究中定性数据的分析。使用建构主义扎根理论,我们对半结构式访谈的参与者进行了分析,其中一半参加了为期 12 周的支持小组,并阅读每周的工作簿作业,而另一半只接受工作簿,并在 3 个月后接受采访。我们开发了一个模型,描述了家庭进入、经历和超越 CD 的旅程,该模型由两个连接的过渡结构连接的三个阶段组成。对患病家庭成员未解决的 CD 的关注是进入和经历疾病的旅程的特征,这是前两个阶段,而更新则是从疾病过渡到恢复的旅程的特征。参与者对医疗保健提供者和服务系统有强烈的看法,并谈到了自我保健、赋权、支持和包容的必要性。

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