1 Department of Psychiatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
2 Nursing Care Research Center. Iran University of Medical Sciences, Tehran, Iran.
Qual Health Res. 2018 May;28(6):987-1001. doi: 10.1177/1049732318758644. Epub 2018 Feb 24.
The broad spectrum of problems caused by caring for a patient with mental illness imposes a high burden on family caregivers. This can affect how they cope with their mentally ill family members. Identifying caregivers' experiences of barriers to coping is necessary to develop a program to help them overcome these challenges. This qualitative content analysis study explored barriers impeding family caregivers' ability to cope with their relatives diagnosed with severe mental illness (defined here as schizophrenia, schizoaffective disorders, and bipolar affective disorders). Sixteen family caregivers were recruited using purposive sampling and interviewed using a semi-structured in-depth interview method. Data were analyzed by a conventional content analytic approach. Findings consisted of four major categories: the patient's isolation from everyday life, incomplete recovery, lack of support by the mental health care system, and stigmatization. Findings highlight the necessity of providing support for caregivers by the mental health care delivery service system.
照顾患有精神疾病的患者所带来的广泛问题给家庭照顾者带来了沉重的负担。这可能会影响他们如何应对自己患有精神疾病的家庭成员。确定照顾者在应对方面遇到的障碍对于制定帮助他们克服这些挑战的计划是必要的。本定性内容分析研究探讨了阻碍家庭照顾者应对其被诊断患有严重精神疾病（这里定义为精神分裂症、分裂情感障碍和双相情感障碍）的亲属的能力的障碍。使用目的性抽样招募了 16 名家庭照顾者，并使用半结构式深入访谈方法对他们进行了访谈。通过常规内容分析方法对数据进行了分析。研究结果包括四个主要类别：患者与日常生活隔离、康复不完整、精神卫生保健系统支持不足以及污名化。研究结果强调了精神卫生保健服务系统为照顾者提供支持的必要性。
