Yüksel Rüveyda, Çekiç Yasemin, Çolak Burçin
Department of Mental Health Nursing, Faculty of Nursing, Aydın Adnan Menderes University, Aydın, Türkiye.
Department of Psychiatric Nursing, Faculty of Nursing, Ankara University, Ankara, Türkiye.
Int J Ment Health Nurs. 2025 Feb;34(1):e13433. doi: 10.1111/inm.13433. Epub 2024 Oct 20.
Due to the humanistic paradigm shift in recent years, mental health recovery has been approached through personal recovery beyond the limits of the biomedical perspective, emphasising the subjective perception and uniqueness of the individual. Therefore, approaching recovery perceptions from patients' perspectives has gained importance. This study aimed to examine in depth the recovery perceptions of individuals with chronic mental illness. It is a qualitative study conducted using a phenomenological design. The study group consisted of 12 patients who had been undergoing treatment for mental illness for at least 1 year and were selected by purposive sampling method. Data were collected face-to-face using a semi-structured interview form and analysed using the content analysis technique. The content analysis revealed three main themes and seven sub-themes. The themes were journey (a meaningful life, optimal functioning, new identity), journey ticket (resilience, support systems) and stones on the road (traditional perspective, barriers). In conclusion, the study results revealed that individuals in the recovery process required support and counselling to make sense of the process and adapt their identity. Employment should be used more effectively in the recovery process of individuals with chronic mental illness. Recovery can only be achieved by breaking away from the traditional perspective of healing and combating the perception of society towards patients. Accordingly, psychiatric nurses should provide effective guidance and counselling to show that individuals can create and live a meaningful life alongside their illnesses.
由于近年来人文范式的转变，心理健康康复已超越生物医学视角的局限，通过个人康复来实现，强调个体的主观认知和独特性。因此，从患者角度探讨康复认知变得愈发重要。本研究旨在深入考察慢性精神疾病患者的康复认知。这是一项采用现象学设计的定性研究。研究组由12名接受精神疾病治疗至少1年的患者组成，采用目的抽样法选取。通过半结构化访谈形式面对面收集数据，并运用内容分析技术进行分析。内容分析揭示了三个主要主题和七个子主题。主题分别为旅程（有意义的生活、最佳功能、新身份）、旅程车票（复原力、支持系统）和路上的石头（传统观念、障碍）。总之，研究结果表明，处于康复过程中的个体需要支持和辅导，以便理解这一过程并调整自身身份。在慢性精神疾病患者的康复过程中，应更有效地利用就业手段。只有摆脱传统的治疗观念，克服社会对患者的看法，才能实现康复。因此，精神科护士应提供有效的指导和辅导，以表明个体在患病的同时也能够创造并过上有意义的生活。
