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西北省马希肯地区心理健康护理使用者家庭所采用的应对机制。

Coping mechanisms used by the families of mental health care users in Mahikeng sub-district, North West province.

作者信息

Modise Tshepang P, Mokgaola Isaac O, Sehularo Leepile A

机构信息

School of Nursing Science, Faculty of Health Sciences, North-West University, Mmabatho, South Africa.

出版信息

Health SA. 2021 Aug 16;26:1586. doi: 10.4102/hsag.v26i0.1586. eCollection 2021.

Abstract

BACKGROUND

Families of the mental health care users (MHCUs) face different challenges in dealing with, supporting and caring for MHCUs on a daily basis. The divergent coping mechanisms that the family members use aim to lower the negative, psychological and emotional impact of the stress. These include: escape, avoidance and denial.

AIM

To explore, describe and contextualise coping mechanisms used by the families of MHCUs and to suggest recommendations for improving their coping mechanisms in Mahikeng sub-district, North West province (NWP), South Africa.

SETTING

The study was conducted in three community health centres in Mahikeng sub-district, NWP, South Africa.

METHODS

A qualitative-exploratory-descriptive and contextual research design was used. Non-probability convenience and purposive sampling techniques were used to select participants. WhatsApp video calls were used to collect data which were analysed following Creswell's six steps of qualitative data analysis.

RESULTS

The study established three themes namely; challenges experienced by the family members, coping mechanism used by the family members, and suggestions for improvement in the coping mechanisms for the family members.

CONCLUSION

The findings of this study show that the family members of MHCUs are faced with different challenges. Some of the coping mechanisms used by the family members are insufficient and require improvement to enable them to cope effectively. When the coping mechanisms of the family members of MHCUs are improved, their well-being and that of the MHCUs might improve significantly.

CONTRIBUTION

The findings of this study provides information that may be used to improve the coping mechanisms of the families of MHCUs in the NWP, South Africa.

摘要

背景

心理健康服务使用者(MHCUs)的家人在日常应对、支持和照顾MHCUs时面临不同挑战。家庭成员采用的不同应对机制旨在降低压力带来的负面心理和情绪影响。这些机制包括:逃避、回避和否认。

目的

探索、描述并结合背景阐述MHCUs家人所采用的应对机制,并为南非西北省(NWP)马希肯分区改善他们的应对机制提出建议。

地点

该研究在南非西北省马希肯分区的三个社区卫生中心进行。

方法

采用定性探索性描述性和情境研究设计。使用非概率便利抽样和目的抽样技术选择参与者。通过WhatsApp视频通话收集数据,并按照克雷斯韦尔的定性数据分析六步法进行分析。

结果

该研究确定了三个主题,即:家庭成员经历的挑战、家庭成员采用的应对机制以及改善家庭成员应对机制的建议。

结论

本研究结果表明,MHCUs的家人面临不同挑战。家庭成员采用的一些应对机制并不充分,需要改进以使其能够有效应对。当MHCUs家人的应对机制得到改善时,他们以及MHCUs的幸福感可能会显著提高。

贡献

本研究结果提供了可用于改善南非西北省MHCUs家人应对机制的信息。

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