The Coping Process of Patients with Schizophrenia-Searching for a Place of Acceptance

精神分裂病患者疾病因應歴程－尋找容身之處

馬玉琴(Yu-Chun Ma) ； 林淑容(Shu-Jung Lin) ； 胡維恒(Wei-Herng Hu) ； 熊秉荃(Ping-Chuan Hsiung)

《慈濟醫學雜誌》 17卷4期 (2005/07) Pp. 247-256

https://doi.org/10.6440/TZUCMJ.200507.0247

並列摘要

Objective: The purposes of this study were to understand the positive and negative impacts of illness on patients with schizophrenia and to attempt to formulate a theoretical framework of the coping process of patients. Materials and Methods: Face-to-face interviews were done using a semi-structured questionnaire. The data was analyzed using grounded theory. The study was conducted using purpose sampling. Data ere collected from 10 patients with schizophrenia. Results: This study showed that ”Searching for a place of acceptance” was the essential theme of the coping process. Three subcategories of the theme included: (1) changes in the place of acceptance: patients experienced changes in their living environment, social recognition, and emotion interactions; (2) my place of acceptance: Where to go? reconstructing the meaning of ”place of acceptance,” and the transitional home. Conclusion: The emphasis on professionalism and quality nursing care has changed the focus of nurses beyond psychiatric diagnoses to caring for persons with psychiatric diagnoses. This study is an attempt to echo this research trend. Future studies can focus on understanding how patients with schizophrenia reconstruct the meanings of home or family and their psychological process in transition from institutions to community. It is hoped that the results of this and future studies will enhance' the sensitivity of nurses toward the subjective symptom experiences of patients and increase nurses' capacity to provide individualized care.

並列關鍵字

schizophrenia ； coping process ； a place of acceptance