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慢性精神分裂症家庭照顾者的需求

Needs of family caregivers in chronic schizophrenia.

作者信息

Winefield H R, Harvey E J

机构信息

Dept. of Psychiatry, University of Adelaide, South Australia.

出版信息

Schizophr Bull. 1994;20(3):557-66. doi: 10.1093/schbul/20.3.557.

Abstract

The goals of the study were to describe (1) the tasks undertaken by people who care for a relative with chronic schizophrenia, according to their level of contact with the patient; and (2) any needs for further help that these caregivers might experience. Interviews and standardized questionnaires were used to collect information from 121 family caregivers whose relatives had been diagnosed an average of 14 years previously. Burden in the sense of interference in caregivers' daily lives was most marked for caregivers in high contact with the patients. Patients whom the caregivers regarded as enjoyable to live with had greater self-care and communication skills. Caregivers preferred that patients low in these skills or high in disruptive behavior live in supervised settings. Caregivers expressed particular support for earlier professional intervention in episodes of illness, information about how to lobby politicians for resources, and information about schizophrenia. These results can be used to plan interventions to reduce caregiver stress.

摘要

该研究的目的是描述

(1)照顾慢性精神分裂症亲属的人员根据与患者的接触程度所承担的任务;以及(2)这些照顾者可能遇到的任何进一步帮助需求。通过访谈和标准化问卷从121名家庭照顾者那里收集信息,这些照顾者的亲属平均在14年前被诊断出患有精神分裂症。对于与患者接触频繁的照顾者来说,对其日常生活造成干扰意义上的负担最为明显。照顾者认为与之生活愉快的患者具有更强的自我照顾和沟通能力。照顾者更倾向于让那些这些能力较差或破坏性行为较多的患者生活在有监督的环境中。照顾者特别支持在疾病发作时进行早期专业干预、关于如何游说政治家争取资源的信息以及关于精神分裂症的信息。这些结果可用于规划减轻照顾者压力的干预措施。

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