Mandani Batool, Hosseini Seyed Ali, Hosseini Mohammad Ali, Noori Ashraf Karbalaie, Ardakani Mohammad Reza Khodaie
Ph.D. Candidate of Occupational Therapy, Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Ph.D., Professor, Department of Occupational Therapy, Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Electron Physician. 2018 Mar 25;10(3):6516-6526. doi: 10.19082/6516. eCollection 2018 Mar.
Family caregivers of individuals with chronic psychiatric disorders play an important role in the management of the patient's conditions, which interferes with other activities of daily living, work, social and leisure activities.
This study was conducted in an Iranian context to explore the perception of family caregivers about barriers of leisure in care of individuals with chronic psychiatric disorders.
The current qualitative study was conducted on the basis of conventional content analysis. Participants were 15 family caregivers of individuals with chronic psychiatric disorders who were selected by Purposeful sampling method between July 2016 and March 2017 in Tehran, Iran. The data was collected via in-depth semi-structured interviews. The interviews were tape recorded, written and transcribed. Then, data were analyzed by inductive content analysis method.
Data analysis led to extraction of 3 main categories and 10 sub categories. Obstacles to leisure-time of family caregivers have been placed in three main categories which are patient-related factors (Resentment from psychological problems, Resentment from behavioral problems, Need for continuous monitoring and access), caregiver-related factors (Physical harm, Psychosocial harm, Temporal stress, Accumulation of responsibilities, Concerns), and community-related factors (Feeling of sympathy and rejection, Social stigma).
Understanding the barriers of leisure in this group of family caregivers has contributed to understanding the family caregivers' perception in this area and regarding their leisure, it can provide a broader perspective to mental health therapists, rehabilitation managers and policy makers for understanding the needs, addressing the challenges and barriers of this group of family caregivers.
慢性精神疾病患者的家庭照顾者在患者病情管理中发挥着重要作用，这会干扰日常生活、工作、社交和休闲活动等其他活动。
本研究在伊朗背景下进行，旨在探讨家庭照顾者对慢性精神疾病患者护理中休闲障碍的看法。
本定性研究基于传统内容分析法进行。参与者为15名慢性精神疾病患者的家庭照顾者，于2016年7月至2017年3月在伊朗德黑兰通过目的抽样法选取。数据通过深入的半结构化访谈收集。访谈进行录音、书写并转录。然后，采用归纳内容分析法对数据进行分析。
数据分析得出3个主要类别和10个子类别。家庭照顾者休闲时间的障碍被归为三个主要类别，即患者相关因素（心理问题导致的怨恨、行为问题导致的怨恨、持续监测和接触的需求）、照顾者相关因素（身体伤害、心理社会伤害、时间压力、责任累积、担忧）和社区相关因素（同情和排斥感、社会耻辱感）。
了解这组家庭照顾者的休闲障碍有助于理解家庭照顾者在该领域的看法，就其休闲而言，可为心理健康治疗师、康复管理人员和政策制定者提供更广阔的视角，以了解这组家庭照顾者的需求、应对挑战和障碍。
