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边缘型人格障碍患者照顾者的生活经历:一项现象学研究

Lived Experiences of Caregivers of Patients with Borderline Personality Disorder: A Phenomenological Study.

作者信息

Meshkinyazd Ali, Heydari Abbas, Fayyazi Bordbar Mohammadreza

机构信息

Department of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Int J Community Based Nurs Midwifery. 2020 Apr;8(2):177-188. doi: 10.30476/IJCBNM.2020.83358.1154.

Abstract

BACKGROUND

Having a patient with borderline personality disorder (BPD) in the family is a complicated and stressful experience. The caregivers' experiences and the problems they have in care of patient with BPD have remained unknown. The aim of this research was to explore the experiences of the caregivers while living with BPD patients in Iran.

METHODS

This interpretive phenomenological research was performed on 10 caregivers of patients with BPD at Ibn-sina Hospital in Mashhad, Iran, in 2019. Purposeful sampling was used for sampling. Data were collected through semi-structured interviews and saturated after 16 interviews. The analysis of data was concurrently carried out using the method proposed by Diekelman (1989). The MAXQDA software (Ver.10) was used for data organization.

RESULTS

The participants in this study were aged 25 to 55 years. After data analysis, three themes ("life in hell", "chain to the feet", and "black shadow of stigma") and six sub-themes ("disrupted from the life", "self-discrepancy", "care bottlenecks", "in the fence of restriction", "society dagger" and "resort to secrecy") emerged.

CONCLUSION

The results of this study showed that the caregivers of patients with BPD during the period of care were faced with a variety of problems. It is suggested that health policy-makers should pay more attention to the problems related to the mental health of caregivers.

摘要

背景

家中有边缘型人格障碍(BPD)患者是一种复杂且压力巨大的经历。照顾者的经历以及他们在照顾BPD患者时所面临的问题一直不为人知。本研究的目的是探讨伊朗BPD患者的照顾者在与其共同生活期间的经历。

方法

2019年,在伊朗马什哈德的伊本·西那医院,对10名BPD患者的照顾者进行了这项诠释现象学研究。采用目的抽样法进行抽样。通过半结构化访谈收集数据,在16次访谈后达到饱和。使用迪克尔曼(1989年)提出的方法同步进行数据分析。使用MAXQDA软件(版本10)进行数据整理。

结果

本研究的参与者年龄在25至55岁之间。数据分析后,出现了三个主题(“地狱生活”、“脚镣束缚”和“耻辱的黑影”)以及六个子主题(“生活被打乱”、“自我差异”、“照顾瓶颈”、“处于限制的围栏中”、“社会匕首”和“诉诸保密”)。

结论

本研究结果表明,BPD患者的照顾者在照顾期间面临着各种问题。建议卫生政策制定者应更加关注与照顾者心理健康相关的问题。

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