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照顾患有严重精神疾病成年子女的父母。

Parents Caring For Adult Children With Serious Mental Illness.

作者信息

Raymond Kathryn Y, Willis Danny G, Sullivan-Bolyai Susan

机构信息

1 Kathryn Y. Raymond, PhD, RN, APRN, University of Massachusetts Medical School, Worcester, MA, USA.

2 Danny G. Willis, DNS, RN, PMHCNS-BC, FAAN, Boston College, Chestnut Hill, MA, USA.

出版信息

J Am Psychiatr Nurses Assoc. 2017 Mar/Apr;23(2):119-132. doi: 10.1177/1078390316685404. Epub 2017 Jan 6.

Abstract

BACKGROUND

Parents often become the caregivers for their adult children with serious mental illness (SMI) due to the chronic and debilitating course of the illness and shortages in funding for community mental health services and residential placements.

OBJECTIVE

To examine parents' management styles when caring for adult children with SMI and parents' perspectives on what type of community-based mental health interventions would support and/or enhance overall family functioning.

DESIGN

A qualitative descriptive study using semistructured interviews with parents caring for adult children with SMI. The study was undergirded by Knafl and Deatrick's Family Management Style Framework.

RESULTS

Four major themes emerged from the data describing prolonged and difficult phases that parents and the family undergo in caring for an adult child with SMI.

CONCLUSIONS

Successful management of these phases must include increasing access to mental health information, mental health screening, early interventions, and violence prevention for adult children and their families.

摘要

背景

由于严重精神疾病(SMI)病程漫长且使人衰弱,以及社区心理健康服务和住宿安置资金短缺,父母常常成为患有严重精神疾病的成年子女的照顾者。

目的

研究父母在照顾患有严重精神疾病的成年子女时的管理方式,以及父母对于何种类型的社区心理健康干预措施能够支持和/或增强整体家庭功能的看法。

设计

一项定性描述性研究,采用对照顾患有严重精神疾病成年子女的父母进行半结构化访谈的方法。该研究以克纳夫和迪特里克的家庭管理风格框架为基础。

结果

数据中出现了四个主要主题,描述了父母和家庭在照顾患有严重精神疾病的成年子女时所经历的漫长而艰难的阶段。

结论

成功管理这些阶段必须包括增加成年子女及其家庭获取心理健康信息、进行心理健康筛查、早期干预和预防暴力的机会。

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