探究慢性思覺失調症病人復元歷程中與家人互動經驗

本研究目的為探討慢性思覺失調症病人在疾病復元歷程中與家庭互動的經驗。以質性研究方法，於中部某精神科專科醫院之社區復健中心立意選取成年、具慢性思覺失調症診斷、與家人同住一年以上及接受社區復健服務6個月以上之病人為研究對象。透過一對一深入訪談，以內容分析法分析及統整歸納，訪談10位慢性思覺失調症個案至資料呈現飽和狀態。研究結果包括四大主題：（一）配合家人所採取之民俗治療與醫學治療、（二）承接家人對待之支持與否定、（三）順應家人對待而產生自我肯定與否定、（四）因應家人對待而產生責任承擔與無所謂。研究結果顯示病人容易承擔家人對疾病態度，配合家人所要求的治療模式，也因與家人相處情形，影響其自我肯定以及後續發展出角色責任感。本研究建議，宜教導病人與同住家人一同學習有效而正向的表達方式與期待，共同接納與因應疾病，以利其邁向復元。

關鍵字

慢性思覺失調症；復元歷程；家人互動；質性研究

並列摘要

This study aimed to explore the family interactional experience of patients having chronic schizophrenia during their recovering process. By using qualitative inquiry methods, we have in-depth interviewed 10 randomly-selected middle-aged adult patients from the community rehabilitation center of a psychiatric hospital in central Taiwan. Patients were recruited if they were diagnosed of chronic schizophrenia, have lived with their family for at least over 1 year, and have received community rehabilitation service for more than 6 months. Data were collected until data saturated and examined via content analysis. Four main themes were emergede: (1) receiving folk remedy and medical treatment requested by family members; (2) accepting whatever family members give support or negation were; (3) generating a sense of self-affirmation and negation based on how they were treated by their family members; and (4) showing a responsive or indifferent attitude according to how their family members responded to them. The results indicate that patients having suffered from schizophrenia would tend to assume the attitude that their family members hold towards their disease, and thus would automatically choose the modes which their family members preferred them to react to and comply with their family's interactive expectations. Therefore, we suggest that patients having schizophrenia and living with their family members should be instructed to learn how to interact effectively through positive expressions and mutual expectations to facilitate recovery.

並列關鍵字

chronic schizophrenia ； recovering process ； family interaction ； qualitative inquiry

參考文獻

吳就君、黃梅羹、胡海國、蔡春美、鄭若瑟、張宏俊、鄭夙芬（2001）．精神分裂症病患照顧者表露情緒與社會心理因素之關係—兩年追蹤研究．臺大社工工作學刊，4，3-44。https://doi.org/10.6171/ntuswr2001.04.01

宋麗玉（2005）．精神障礙者之復健與復元-一個正向積極的觀點．中華衛生心理學刊，18，1-29。https://doi.org/10.30074/FJMH.200512_18(4).0001

黃耀輝、林幼喻、李世凱、李明峰、林靜蘭（2017）．精神病患復元歷程之相關性研究．護理雜誌，65(2)，64-74。https://doi.org/10.6224/JN.201804_65(2).09

劉幸愉、林盈彣、顏文娟、黃耀輝、簡以嘉、馬維芬（2019）探討思覺失調症住院病人之復元程度及相關因素．精神衛生護理雜誌，14(2)，20-29。https://doi.org/10.6847/TJPMHN.201912_14(2).02

韓德彥、陳淑惠（2008）．精神疾病汙名感受量表及短版之心理計量特性．中華心理衛生學刊，21(3)，273-290。https://doi.org/10.30074/FJMH.200809_21(3).0003

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探究慢性思覺失調症病人復元歷程中與家人互動經驗

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