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慢性精神障碍患者家庭照顾者健康促进项目的设计、实施与评估:一项混合方法研究

Design, Implementation and Evaluation of a Health Promotion Program for Family Caregivers of Chronic Mental Disorders: A Mixed Methods Study.

作者信息

Lohrasebi Fatemeh, Alavi Mousa, Akbari Mohammad, Maghsoudi Jahangir

机构信息

Department of Psychiatric Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Chonnam Med J. 2024 Sep;60(3):155-165. doi: 10.4068/cmj.2024.60.3.155. Epub 2024 Sep 25.

Abstract

Family caregivers of patients with chronic mental disorders who are responsible for taking care of the patient face many problems that can endanger the psychosocial health of these people. This study was conducted to develop, implement, and evaluate a psychosocial health promotion program for family caregivers of patients with chronic mental disorders. This research is an exploratory sequential mixed-method study conducted using a qualitative-quantitative design. A qualitative study was conducted to explain the needs and psychosocial problems and the solution to improve the psychosocial health of family caregivers of patients with chronic mental disorders in two psychiatric care centers in Isfahan were conducted. Then the program was written based on Kern's programming development approach. In the quantitative stage, a part of the developed program was implemented as virtual group psychoeducation for 67 caregivers, and its impact on caregivers' burden of care was evaluated. The findings from the qualitative phase of the study led to the emergence of 3 main categories and the findings from the quantitative phase of the study indicated that the implementation of the compiled program causes a significant reduction in the burden of care in family caregivers of chronically mentally ill patients (p<0.05). The current program was prepared and developed using an evidence-based approach. Policymakers and members of the mental health team can take a valuable step toward reducing the care burden of family caregivers of chronic mental patients by using the content of the developed mental health promotion program.

摘要

负责照顾慢性精神障碍患者的家庭照料者面临着许多可能危及这些人心理社会健康的问题。本研究旨在为慢性精神障碍患者的家庭照料者制定、实施和评估一项心理社会健康促进项目。本研究是一项采用定性-定量设计的探索性序列混合方法研究。开展了一项定性研究,以解释需求、心理社会问题以及改善伊斯法罕两个精神科护理中心慢性精神障碍患者家庭照料者心理社会健康的解决方案。然后根据克恩的项目开发方法编写了该项目。在定量阶段,将所开发项目的一部分作为虚拟团体心理教育对67名照料者实施,并评估其对照料者护理负担的影响。研究定性阶段的结果产生了3个主要类别,研究定量阶段的结果表明,所编制项目的实施使慢性精神病患者家庭照料者的护理负担显著降低(p<0.05)。当前项目是采用循证方法编制和开发的。政策制定者和心理健康团队成员可以通过采用所开发的心理健康促进项目的内容,朝着减轻慢性精神疾病患者家庭照料者的护理负担迈出有价值的一步。

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