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麻风病家庭在维持家庭互动模式以支持印度尼西亚社会中麻风病患者康复方面的生活经历。一项现象学定性研究。

The life experience of leprosy families in maintaining interaction patterns in the family to support healing in leprosy patients in Indonesian society. A phenomenological qualitative study.

机构信息

Faculty of Nursing, Airlangga University, Surabaya, Indonesia.

Faculty of Vocational, Airlangga University, Surabaya, Indonesia.

出版信息

PLoS Negl Trop Dis. 2022 Apr 8;16(4):e0010264. doi: 10.1371/journal.pntd.0010264. eCollection 2022 Apr.

Abstract

BACKGROUND

Family involvement in overcoming the severity of leprosy is very important in the life of leprosy sufferers in communities who experience the clinical and, psychological, social and behavioral consequences of the disease. However, this need, psychosocial, is felt to be not optimal. This study is to identify how the experiences of family members as caregivers provide assistance to individuals with leprosy in improving healing and maintaining patterns of interaction in the family.

METHODS

The design uses qualitative research with in-depth, face-to-face interviews with family members in a semi-structured manner with the hope of obtaining complete data. Using purposive sampling with Participatory Interpretative Phenomenology analysis, there are 12 families with 15 family members consisting of 4 men and 11 women.

RESULTS

This study produced a family theme that tried to follow what would happen to individuals with leprosy, with four sub-categories: 1) Using various coping alternatives to recognize the disease, 2) Family members in the shadow of leprosy, 3) Trying to empathize with other family members. sick, 4) Caring for the emotional response of the family and seeking support.

CONCLUSIONS

This analysis shows that deficiency in cognitive aspects can be closed by maintaining a lifestyle in the family through efforts to understand, support, establish communication, increase maximum involvement in restoring self-confidence, especially in individuals with leprosy with psychosocial problems in the family. The results of this study can be used as psychosocial support in maintaining communication between family members to support treatment programs and accelerate the recovery of leprosy.

摘要

背景

在社区中,麻风病患者的生活中,家庭成员的参与对于克服麻风病的严重程度非常重要,他们会经历疾病带来的临床、心理、社会和行为后果。然而,这种心理社会需求并没有得到充分满足。本研究旨在确定家庭成员作为照顾者的经验如何为麻风病患者提供帮助,以改善他们的康复状况并维持家庭中的互动模式。

方法

本研究采用定性研究设计,通过半结构化的深入访谈方式与家庭成员进行交流,希望获得全面的数据。采用目的性抽样和参与式现象学分析方法,共有 12 个家庭的 15 名家庭成员参与研究,其中包括 4 名男性和 11 名女性。

结果

本研究提出了一个家庭主题,试图跟随麻风病患者的经历,包括四个子类别:1)通过各种应对策略来认识疾病;2)麻风病阴影下的家庭成员;3)试图同情其他患病的家庭成员;4)照顾家庭的情绪反应并寻求支持。

结论

本分析表明,通过家庭生活方式的努力,包括理解、支持、建立沟通、增加最大程度的自我康复参与,可以弥补认知方面的不足,特别是对于那些在家庭中存在心理社会问题的麻风病患者。本研究的结果可以作为维持家庭成员之间沟通的心理社会支持,以支持治疗计划并加速麻风病的康复。

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