Zhao Yu, Zou Haiou, Gu Jianing, Zhou Ying, Li Zheng
School of Nursing,CAMS and PUMC,Beijing 100144,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2020 Jun 30;42(3):364-369. doi: 10.3881/j.issn.1000-503X.11504.
To understand the survival stress of community-dwelling people with mental disorder. Fifteen cases were selected by purposive sampling and received semi-structured individualized interviews.The data were analyzed by Colaizzi framework and themes were extracted. Four themes were extracted:physiological stress due to psychiatric symptoms and side effects of drugs;psychological stress due to the outcome of mental illness and to conflict of roles in daily life;social and environmental stress such as social discrimination,lack of job opportunities,and difficulty in obtaining social welfare resources;and interpersonal stress caused by discrimination and deteriorating family relations. Community-dwelling people with mental illness have a higher level survival stress after returning to their families and society,with the stressors including symptoms of illness,social discrimination,and interpersonal relationship.Eliminating self-discrimination of the patients,improving social support and social welfare system,and increasing individualized community mental rehabilitation activities may reduce the survival stress of these patients and promote their rehabilitation.
为了解社区精神障碍患者的生存压力。采用目的抽样法选取15例患者，进行半结构化个体访谈。采用Colaizzi分析法对资料进行分析并提炼主题。提炼出四个主题：精神症状及药物副作用所致的生理压力；精神疾病后果及日常生活角色冲突所致的心理压力；社会歧视、缺乏就业机会及获取社会福利资源困难等社会和环境压力；歧视及家庭关系恶化所致的人际压力。社区精神疾病患者回归家庭和社会后生存压力较大，压力源包括疾病症状、社会歧视及人际关系等。消除患者的自我歧视、完善社会支持及社会福利体系、增加个体化社区精神康复活动，可能会减轻这些患者的生存压力，促进其康复。
