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中越两国在澳照顾精神疾病患者者的健康状况和经历。

Wellbeing and experiences of Chinese and Vietnamese carers of people with mental illness in Australia.

机构信息

University of New South Wales, Australia.

Transcultural Mental Health Centre, Australia.

出版信息

Transcult Psychiatry. 2021 Jun;58(3):351-364. doi: 10.1177/1363461520952629. Epub 2020 Sep 24.

Abstract

Many studies show that carers of people with mental illness experience a negative impact on their wellbeing. Given the growing number of people relocating to Australia every year, there are limited studies examining the experience of carers of people with mental illness from culturally and linguistically diverse communities in Australia. Using cultural safety as a conceptual framework, this exploratory study recruited 14 carers of Chinese and Vietnamese heritage who were attending culturally and linguistically oriented support groups in Sydney, Australia. Standardised, validated scales were administered to measure carers' wellbeing and knowledge of recovery. Structured interviews were conducted to understand carers' perceived needs. Descriptive statistical and qualitative thematic analysis were used. Findings show that carers experienced social isolation and psychological distress, had multiple diverse needs and had a reasonably good understanding of recovery. Six themes were identified: i) obtaining information in own language; ii) attaining emotional support from support groups; iii) needing respite services to cope with caregiving responsibilities; iv) involvement in planning of treatment and care; v) migration process influencing caregiving, and; vi) cultural and transcultural factors influencing caregiving experience. Findings indicate that some carers might be experiencing some level of culturally unsafe practices in mainstream mental health services. Implications for support groups and mental health services are discussed.

摘要

许多研究表明,精神疾病患者的照顾者的幸福感会受到负面影响。鉴于每年都有越来越多的人移居澳大利亚,目前很少有研究关注来自澳大利亚文化和语言多样化社区的精神疾病患者照顾者的体验。本探索性研究以文化安全为概念框架,招募了 14 名正在参加悉尼文化和语言导向支持小组的中越裔照顾者。采用标准化、经过验证的量表来衡量照顾者的幸福感和康复知识。进行了结构化访谈以了解照顾者的感知需求。使用描述性统计和定性主题分析。研究结果表明,照顾者经历了社会孤立和心理困扰,有多种不同的需求,对康复有一定的了解。确定了六个主题:i)用自己的语言获取信息;ii)从支持小组获得情感支持;iii)需要喘息服务来应对照顾责任;iv)参与治疗和护理计划;v)移民过程影响照顾;以及 vi)文化和跨文化因素影响照顾体验。研究结果表明,一些照顾者在主流心理健康服务中可能会经历某种程度的文化不安全做法。讨论了对支持小组和心理健康服务的影响。

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