Zou Haiou, Li Zheng, Arthur David, Wang Hongxing
School of Nursing, Peking Union Medical College, Beijing, China.
Int J Ment Health Nurs. 2014 Aug;23(4):355-63. doi: 10.1111/inm.12055. Epub 2013 Dec 25.
The purpose of this study was to explore facilitators and barriers of self-management from the viewpoint of Chinese people with schizophrenia and their caregivers. A qualitative study using the individual interview method was used. Twenty-one people with schizophrenia and 14 caregivers were interviewed. Three facilitators were identified: family and peer support, positive relationships with health professionals, and positive attitudes towards self-management. Four barriers were identified: lack of knowledge and skills, financial constraint, social stigma, and uncoordinated mental health services. The findings from this study should help nurses to recognize the factors that influence self-management and provide direction for nurses and other health professionals involved in initiating and implementing family-based self-management programmes for people with schizophrenia. The findings also call for the development of antistigma programmes, which are needed to help reduce prejudice and discrimination towards individuals with schizophrenia in China. The study also provides information for health policy makers in China to help them make potential changes in mental health services, which can better meet the needs of Chinese people with schizophrenia.
本研究的目的是从中国精神分裂症患者及其照料者的角度探讨自我管理的促进因素和障碍。采用个人访谈法进行了一项定性研究。对21名精神分裂症患者和14名照料者进行了访谈。确定了三个促进因素：家庭和同伴支持、与卫生专业人员的积极关系以及对自我管理的积极态度。确定了四个障碍：知识和技能缺乏、经济限制、社会耻辱感以及心理健康服务不协调。本研究的结果应有助于护士认识到影响自我管理的因素，并为参与启动和实施针对精神分裂症患者的家庭自我管理项目的护士和其他卫生专业人员提供指导。研究结果还呼吁开展反耻辱项目，这有助于减少中国对精神分裂症患者的偏见和歧视。该研究还为中国的卫生政策制定者提供信息，帮助他们对心理健康服务做出潜在改变，从而更好地满足中国精神分裂症患者的需求。
