Hyun Myung Sun, Kim Hyunlye, Nam Kyoung A, Kim Su Young
College of Nursing, Ajou University, Suwon, Korea.
Research Institute of Nursing Science, Ajou University, Suwon, Korea.
J Korean Acad Nurs. 2022 Apr;52(2):187-201. doi: 10.4040/jkan.21208.
This study discovered a substantive theory of the experience and process of peer support work among people with mental illness.
The participants were members of community-based mental health facilities and had been working as peer supporters for more than six months. The data were collected through in-depth interviews with twelve participants and analyzed using Corbin and Strauss's grounded theory approach.
The core category was "becoming a healer going with patients in the journey of recovery," and the core phenomenon was "identity confusion as a peer supporter." The causal conditions were "starting peer support work without certainty" and "standing at the boundary between the therapist and patient." The intervening conditions were "willingness to become a successful peer supporter," "feeling a sense of homogeneity with the patient," "accepting the mental illness," and "support from people around." The action and interaction strategies were "letting go of greed," "being open about oneself," "developing professional skills," "maintaining wellness in the body and mind," and "being with the patient." The consequences were "becoming a useful person," "changing attitude toward life," "expansion of the sense of self-existence," "recovering from mental illness," and "discovering a role as peer supporter." Finally, the substantive theory of "becoming a healer going with patients in the journey of recovery" was derived.
This study provides a holistic understanding of peer support work and the implications of interventions to help people with mental illness in a person-centered recovery process.
本研究发现了精神疾病患者同伴支持工作经历与过程的实质性理论。
参与者为社区心理健康机构成员，且担任同伴支持者超过六个月。通过对12名参与者进行深入访谈收集数据，并采用科尔宾和施特劳斯的扎根理论方法进行分析。
核心类别为“在康复之旅中与患者同行成为治愈者”，核心现象为“作为同伴支持者的身份困惑”。因果条件为“不确定地开始同伴支持工作”和“处于治疗师与患者的边界”。干预条件为“愿意成为成功的同伴支持者”、“与患者有同质性的感觉”、“接受精神疾病”以及“周围人的支持”。行动和互动策略为“放下贪婪”、“坦诚相待”、“发展专业技能”、“保持身心健康”以及“陪伴患者”。结果为“成为一个有用的人”、“改变对生活的态度”、“自我存在感的扩展”、“从精神疾病中康复”以及“发现作为同伴支持者的角色”。最后，得出了“在康复之旅中与患者同行成为治愈者”的实质性理论。
本研究提供了对同伴支持工作的全面理解以及干预措施在以个人为中心的康复过程中帮助精神疾病患者的意义。
