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家庭参与作为基层医疗中精神疾病患者管理的一部分。

Family engagement as part of managing patients with mental illness in primary care.

机构信息

Department of Psychological Medicine, Changi General Hospital, Singapore.

Department of Sleep Medicine, Surgery and Science, Changi General Hospital, Singapore.

出版信息

Singapore Med J. 2021 May;62(5):213-219. doi: 10.11622/smedj.2021057.

Abstract

The family unit plays a crucial role in patients with mental illness. Mental health problems have been associated with an assortment of dysfunctional social and psychological processes in one's family of origin, yet families are now expected to be responsible for the care of the patient with mental illness. There are many short- and long-term benefits of engaging the families in the care of patients with mental illness. However, the implementation of family engagement in patients with mental illness is fraught with challenges. The primary care provider possesses several distinctive characteristics that lend an advantage to successfully engaging the families of patients with mental illness, such as better accessibility, better rapport, and being associated with less stigma. Primary care providers could engage the family in various ways, ranging from basic functions such as psychoeducation and supporting the family's needs, to more specialised interventions such as family assessment and family therapy.

摘要

家庭在精神病患者中起着至关重要的作用。心理健康问题与一个人原生家庭中各种功能失调的社会和心理过程有关,但现在家庭被期望负责照顾患有精神疾病的患者。让家庭成员参与精神疾病患者的护理有许多短期和长期的好处。然而,让家庭成员参与精神疾病患者的护理实施过程充满了挑战。初级保健提供者具有一些独特的特征,使他们能够成功地让精神疾病患者的家庭参与进来,例如更好的可及性、更好的融洽度以及较少的污名化。初级保健提供者可以通过多种方式让家庭成员参与进来,从基本的功能,如心理教育和支持家庭的需求,到更专业的干预,如家庭评估和家庭治疗。

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