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泰国精神分裂症患者康复的生活体验:一项定性研究。

Lived experiences of recovery among persons with schizophrenia in Thailand: A qualitative study.

作者信息

Jundeekrayom Surada, Soonthornchaiya Rangsiman, King Beth

机构信息

Faculty of Nursing, Thammasat University, Pathumthani, Thailand.

Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, Florida, United States.

出版信息

Belitung Nurs J. 2025 Aug 3;11(4):452-458. doi: 10.33546/bnj.3885. eCollection 2025.

Abstract

BACKGROUND

Schizophrenia is a chronic and disabling mental illness that presents a significant public health challenge worldwide. It affects multiple aspects of an individual's life, often resulting in poor health outcomes, disability, and impaired daily functioning. With advances in ongoing care and relapse prevention, the focus of treatment has shifted toward promoting remission and personal recovery. However, few studies have explored the lived experiences of recovery among individuals with schizophrenia in Southeast Asia, especially within the Thai cultural context.

OBJECTIVE

This study aimed to explore the lived experiences of recovery among individuals with schizophrenia in Northeastern Thailand.

METHODS

A qualitative hermeneutic phenomenological approach was used. Twenty-three community-dwelling individuals in the recovery phase of schizophrenia were purposively selected. Data were collected through in-depth, face-to-face interviews between December 2021 and June 2022. Interviews were transcribed verbatim and analyzed using hermeneutic analysis to identify underlying themes.

RESULTS

Participants described recovery as a process of "bringing life back to normal living." Two interrelated themes emerged: (1) Being normal through social connectedness, and (2) Living a happy and meaningful life. These themes highlight the importance of social roles, community acceptance, emotional well-being, and culturally rooted definitions of normalcy in the recovery process.

CONCLUSION

Recovery from schizophrenia extends beyond symptom control to include social reintegration and the restoration of purpose and well-being. Psychiatric nurses play a vital role in supporting this process by developing interventions that transcend biomedical treatment, fostering social connectedness, personal meaning, and emotional resilience. Culturally sensitive, holistic care strategies are essential to help individuals achieve their own definitions of a fulfilling and "normal" life.

摘要

背景

精神分裂症是一种慢性致残性精神疾病,在全球范围内构成重大的公共卫生挑战。它影响个人生活的多个方面,常常导致健康状况不佳、残疾和日常功能受损。随着持续护理和预防复发方面的进展,治疗重点已转向促进缓解和个人康复。然而,很少有研究探讨东南亚精神分裂症患者的康复生活经历,尤其是在泰国文化背景下。

目的

本研究旨在探索泰国东北部精神分裂症患者的康复生活经历。

方法

采用质性诠释现象学方法。有目的地选取了23名处于精神分裂症康复阶段的社区居民。2021年12月至2022年6月期间,通过深入的面对面访谈收集数据。访谈逐字转录,并使用诠释分析来识别潜在主题。

结果

参与者将康复描述为一个“让生活恢复正常”的过程。出现了两个相互关联的主题:(1)通过社会联系恢复正常,以及(2)过上幸福且有意义的生活。这些主题凸显了社会角色、社区接纳、情感幸福以及康复过程中基于文化的正常定义的重要性。

结论

精神分裂症的康复不仅包括症状控制,还包括社会重新融入以及目的和幸福感的恢复。精神科护士在支持这一过程中发挥着至关重要的作用,通过制定超越生物医学治疗的干预措施,促进社会联系、个人意义和情感恢复力。具有文化敏感性的整体护理策略对于帮助个体实现其对充实和“正常”生活的定义至关重要。

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