手足罹患精神分裂症之認知歷程

The Cognitive Processes of the Siblings of Individuals with Schizophrenia

楊芝菁(Tzu-Ching Yang) ； 馬維芬(We-Fen Ma) ； 顏文娟(Wen-Jiuan Yen) ； 藍先元(Hsien-Yuan Lane)

《實證護理》 4卷3期 (2008/09) Pp. 182-190

https://doi.org/10.6225/JEBN.4.3.182

摘要

本研究之目的為了解精神分裂症患者其成年手足的疾病認知及因應方式。採描述性質性研究法，以立意取樣方式，針對12位社區精神分裂症患者之未患病成年手足進行半結構式訪談錄音收集資料，再以質性內容分析法分析資料。參與者於手足罹病過程中，經歷模糊不清、半信半疑、逐漸明白等三階段之認知歷程。模糊不清階段包含二個主軸：「異常表現之疑惑」、「探尋原因以求因應」。半信半疑之階段包含二個主軸：「手足生病之懷疑」、「被迫接受精神疾病存在事實」。逐漸明白階段含二個主軸：「疾病特性之了解」、「後續照顧角色之衝擊」。研究結果能幫助醫療人員認識手足在照護精神分裂症患者時的心路歷程，進而針對手足之需要提供精神分裂症不同時期之精神症狀表現相關知識，提供心理支持及教導因應手足疾病之模式。

關鍵字

精神分裂症 ； 手足 ； 經驗 ； 質性內容分析

並列摘要

This study aimed to explore the knowledge and coping styles of Taiwanese adults who had siblings with schizophrenia. Descriptive qualitative study was the design for this study and a semi-structured interview was conducted with the content audio-taped. The data was analyzed using content analysis. A purposive sample of 12 adults who had a sibling with schizophrenia was recruited. Three stages of cognitive process were found: 1) vague, 2) dubious, and 3) gradually understanding. Two themes in the vague stage included, ”doubts on unusual behaviors,” and ”searching for causes to facilitate coping with siblings' unusual behaviors”. Two themes in the dubious stage were, ”suspecting siblings to become ill,” and, ”being compelled to accept the reality of siblings who become psychotic”, and two themes in the gradually understanding stage were, ”understanding the characteristics of schizophrenia,” and ”the impact on siblings of performing a caring role”. The result of this study may empower psychiatric nurses to better understand the cognitive process of healthy Taiwanese adults who have a sibling with schizophrenia and provide knowledge of the different stages of illness and mental support with coping styles.

並列關鍵字

schizophrenia ； siblings ； experience ； qualitative content analysis