'What Was Going to Happen to Us?' Understanding the Need of Family Members After A First Episode Psychosis: A Qualitative Study From Turkey.

IF 2.6 4区 医学 Q1 NURSING
Duygu Özer
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Abstract

Introduction: Being diagnosed with first episode psychosis (FEP) can be a crisis for both individuals and family members in the early years. In this process, family life and interpersonal relationships may deteriorate, and stigmatisation may be observed. Learning about the feelings, experiences, and needs of families after the diagnosis of FEP will help in coping with the disease and in predicting its prognosis.

Aim: This study aimed to determine the experiences and needs of family members after a diagnosis of FEP.

Methods: This qualitative study was conducted with first-degree relatives of individuals diagnosed with FEP who the psychiatry outpatient clinic of a hospital in Turkey followed up. The sample of the study consisted of 17 participants. A semi-structured interview form was used to collect the data. N-Vivo12 program with thematic analysis method was used for data analysis and COREQ checklist was used for reporting.

Results: It was found that 64.7% of the participants were in the role of mother, 64.7% were primary school/middle school graduates, and 29.4% had quit their jobs due to their caregiving role. As a result of the interviews, 4 main themes and 13 sub-themes were identified. The main themes are as follows: not knowing/not realising, mixed feelings, changing lives and need for help.

Discussion: Interventions are needed to increase community mental health literacy and reduce stigmatising attitudes. Mental health professionals should be aware that cultural beliefs and spiritual values are effective in community mental health and should raise awareness of evidence-based treatments in the community.

Implications for practice: These findings will raise awareness for mental health professionals that they should not overlook the family while providing health services to individuals diagnosed with FEP. In addition, psychiatric nurses can use the findings to create training and support programmes for families.

“我们会发生什么事?”了解首发精神病后家庭成员的需求:来自土耳其的定性研究。
在早期被诊断为首发精神病(FEP)对个人和家庭成员来说都是一种危机。在这个过程中,家庭生活和人际关系可能会恶化,并可能出现污名化。了解FEP诊断后家庭的感受、经历和需求将有助于应对疾病并预测其预后。目的:本研究旨在了解FEP诊断后家庭成员的经历和需求。方法:对土耳其某医院精神科门诊诊断为FEP的患者的一级亲属进行了定性研究。该研究的样本包括17名参与者。采用半结构化访谈形式收集数据。采用N-Vivo12程序和专题分析法进行数据分析,采用COREQ检查表进行报告。结果:64.7%的被调查者扮演母亲的角色,64.7%的被调查者为小学/中学毕业生,29.4%的被调查者因扮演照顾者角色而辞职。访谈的结果是确定了4个主要主题和13个次级主题。主题如下:不知道/没有意识到,复杂的感情,改变生活和需要帮助。讨论:需要采取干预措施,提高社区精神卫生素养,减少污名化态度。精神卫生专业人员应意识到,文化信仰和精神价值观对社区精神卫生是有效的,并应提高社区对循证治疗的认识。对实践的启示:这些发现将提高精神卫生专业人员的意识,他们不应该忽视家庭,而向诊断为FEP的个人提供卫生服务。此外,精神科护士可以利用这些发现为家庭创建培训和支持方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
75
审稿时长
4-8 weeks
期刊介绍: The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
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