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加纳上东部地区照顾精神疾病患者的非正式家庭护理者使用的应对策略:一项定性研究。

Coping strategies used by informal family caregivers of individuals living with mental illness in the Upper East Region of Ghana: a qualitative study.

机构信息

Presbyterian Psychiatric Hospital, Bolgatanga, Ghana.

Department of Global Health, University for Development Studies, Tamale, Ghana.

出版信息

BMJ Open. 2024 Jul 30;14(7):e084791. doi: 10.1136/bmjopen-2024-084791.

Abstract

BACKGROUND

Caregivers' responsibilities for caring for individuals living with mental illness have grown in the last three decades, owing mostly to the transition of mental health treatment from institutions to community-based psychiatric services. Due to the burden that ensues with caring for individuals living with mental illness, many caregivers adopt different strategies to deal with the challenges.

OBJECTIVE

This study aimed to explore the coping strategies of informal family caregivers of individuals living with mental illness in the Upper East Region of Ghana.

DESIGN

The study adopted a descriptive qualitative study design. Fitheen informal family caregivers were purposively sampled from two hospitals in the Upper East Region of Ghana SETTING AND PARTICIPANTS: The study was conducted in the Upper East Region of Ghana among informal family caregivers of individuals living with mental illness.

RESULTS

Four themes emerged from the analysis of the data including self-motivation, religious coping, social support and engagement in leisure activities. While some family caregivers received support from family members, most of them were self-motivated, resorted to prayer, kept faith in God and engaged in leisure activities to cope with the burden of caregiving.

CONCLUSION

Informal family caregivers experience several challenges and therefore adopt different strategies to cope with the burden of caregiving. They require psychoeducation to understand the burden and to adapt acceptable coping mechanisms.

摘要

背景

在过去的三十年中,由于精神卫生治疗从机构向社区精神卫生服务的转变,照顾患有精神疾病的个体的责任主要由照顾者承担。由于照顾患有精神疾病的个体带来的负担,许多照顾者采用了不同的策略来应对挑战。

目的

本研究旨在探讨加纳上东部地区照顾精神疾病患者的非正式家庭照顾者的应对策略。

设计

本研究采用描述性定性研究设计。从加纳上东部地区的两家医院中,有针对性地抽取了 45 名非正式家庭照顾者。

地点和参与者

本研究在加纳上东部地区进行,参与者为照顾精神疾病患者的非正式家庭照顾者。

结果

从数据分析中得出了四个主题,包括自我激励、宗教应对、社会支持和参与休闲活动。虽然一些家庭照顾者得到了家庭成员的支持,但大多数人是自我激励的,他们诉诸祈祷、保持对上帝的信仰,并参与休闲活动来应对照顾的负担。

结论

非正式家庭照顾者体验到了许多挑战,因此采用了不同的策略来应对照顾的负担。他们需要接受心理教育,以了解负担并适应可接受的应对机制。

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