Department of Education, Xuanwu Hospital, Capital Medical University, Beijing, China.
School of General Practice and Continuing Education, Capital Medical University, No. 10, Xitoutiao, You An Men Wai, Fengtai District, Beijing, 100069, China.
BMC Psychiatry. 2019 Feb 20;19(1):75. doi: 10.1186/s12888-019-2052-4.
Family caregivers play crucial roles in taking care of people experiencing schizophrenia in the community. The burdens on and needs of caregivers of these patients should be emphasized. This study aimed to explore the perspective of family caregivers of people experiencing schizophrenia in the communities of Beijing in terms of the burdens of care and the acquisition and further need for support in order to provide guidance to health care providers regarding how to target therapeutic interventions for families of individuals experiencing schizophrenia and to provide recommendations for policy makers to tailor countermeasures and services.
A total of 20 family caregivers of schizophrenia patients were enrolled in our study. A face-to-face and semi-structured in-depth qualitative interview study was conducted to explore the caregivers' perspective on the burden on caregivers, support and further needs. This study was conducted in the community health service centres where the family caregivers regularly visit. The study was carried out according to good ethical practices, data analysis and reporting guidelines.
Most participants reported that they were suffering from heavy life burdens and had negative experiences with respect to obtaining social support, and they emphasized that they would require more support. Economic and daily housework burdens, limited social communication, and psychological stresses were the principal burdens. Support including financial, medical and information and educational support did not satisfy the needs of the caregivers and their patients. More financial support, respect, and rehabilitation institutions were reported to be needs of the caregivers.
Family caregivers of people experiencing schizophrenia suffer from heavy physical and psychological burdens; however, the current support provided is insufficient. More services and better public attitudes should be considered for people experiencing schizophrenia and their caregivers.
家庭照顾者在照顾社区中经历精神分裂症的人方面发挥着至关重要的作用。应强调这些患者的照顾者的负担和需求。本研究旨在探讨北京市社区精神分裂症患者家庭照顾者在照顾负担以及获取和进一步需求支持方面的观点,以便为卫生保健提供者提供针对精神分裂症患者家庭的治疗干预措施的指导,并为政策制定者提供制定对策和服务的建议。
共纳入 20 名精神分裂症患者的家庭照顾者。通过面对面和半结构化深入定性访谈研究,探讨照顾者对照顾者负担、支持和进一步需求的看法。这项研究是在家庭照顾者定期就诊的社区卫生服务中心进行的。该研究按照良好的伦理实践、数据分析和报告准则进行。
大多数参与者报告说他们承受着沉重的生活负担,在获得社会支持方面有负面体验,他们强调他们需要更多的支持。经济和日常家务负担、有限的社会交流和心理压力是主要负担。支持包括经济、医疗、信息和教育支持,不能满足照顾者及其患者的需求。更多的经济支持、尊重和康复机构被报道为照顾者的需求。
经历精神分裂症的人的家庭照顾者承受着沉重的身心负担;然而,目前提供的支持还不够。应该考虑为精神分裂症患者及其照顾者提供更多的服务和更好的公众态度。