Jormfeldt Henrika, Svensson Bengt, Hansson Lars, Svedberg Petra
School of Social and Health Sciences, Halmstad University, Halmstad, Sweden;
Department of Health Sciences, Lund University, Lund, Sweden.
Int J Qual Stud Health Well-being. 2014 Apr 8;9:22918. doi: 10.3402/qhw.v9.22918. eCollection 2014.
The Boston Psychiatric Rehabilitation (BPR) approach is individualized and characterized by being based entirely on the individual's unique needs and preferences in the areas of working, learning, social contacts, and living environment. Relatives of clients in mental health services influence the client's possibilities for recovery by their everyday relationship. Relatives have, however, traditionally had a subordinated role in the care of their mentally ill family member. The perspective of relatives is an important aspect in the development of new approaches to psychiatric rehabilitation. The purpose of this study was thus to describe and explore relatives' experiences of the BPR approach. Ten relatives of clients in mental health services taking part in the BPR were interviewed. The interviews were transcribed and analyzed with a qualitative content analysis method to explore relatives' experiences of the BPR intervention in a county in Sweden. The findings from the interviews could be summarized in the theme "To meet the clients' needs" consisting of three categories: "Dependence on staffs' competence," "Responsibility for user involvement," and "The necessity for coordination between authorities and caregivers." The findings suggest that relatives may contribute with important information about clients' needs related to outcome of care. Relatives' perspectives may be of importance in future development of BPR. Further research about the relatives' role in psychiatric rehabilitation is needed as well as studies that compare different kinds of psychiatric rehabilitation from the perspective of relatives.
波士顿精神康复（BPR）方法是个性化的，其特点是完全基于个人在工作、学习、社交和生活环境等方面的独特需求和偏好。心理健康服务对象的亲属通过日常关系影响其康复的可能性。然而，亲属在照顾患有精神疾病的家庭成员方面传统上处于从属地位。亲属的观点是精神康复新方法发展中的一个重要方面。因此，本研究的目的是描述和探索亲属对BPR方法的体验。对参与BPR的心理健康服务对象的十位亲属进行了访谈。对访谈内容进行转录，并采用定性内容分析方法进行分析，以探索瑞典一个县亲属对BPR干预的体验。访谈结果可归纳为“满足服务对象需求”这一主题，该主题由三个类别组成：“依赖工作人员的能力”、“对服务对象参与的责任”以及“当局与照顾者之间协调的必要性”。研究结果表明，亲属可能会提供有关服务对象与护理结果相关需求的重要信息。亲属的观点在BPR的未来发展中可能很重要。需要进一步研究亲属在精神康复中的作用，以及从亲属角度比较不同类型精神康复的研究。
