帮助我在社区生活得很好:精神分裂症患者的经历。

IF 1.6 4区 医学 Q2 REHABILITATION
Kylie Stewart, Nicola Hancock, Christine Chapparo, Emeritus Roger J. Stancliffe
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引用次数: 0

摘要

导言精神分裂症患者比其他精神病患者更容易住院治疗。从事精神卫生工作的职业治疗师经常需要对精神分裂症患者进行评估,并提出建议,帮助他们在社区中顺利生活。目前很少有研究从消费者的角度出发,探讨他们认为哪些支持措施有助于他们远离医院。本研究旨在探讨精神分裂症患者认为哪些支持有助于他们在社区生活并远离医院:方法:通过对被诊断患有精神分裂症的成年患者(N = 18)进行半结构化访谈收集定性数据。采用恒定比较分析方法对数据进行主题分析。归纳分析之后是演绎分析阶段:参与者强调了以个人、职业和环境为重点的支持。以人为本的支持满足了认知和心理需求。以职业为重点的支持包括帮助人们管理患有精神疾病的日常生活、参与社交活动以及从事有意义的活动。以环境为重点的支持包括经济保障、住宿保障和社区选择。除了支持的类型外,参与者还强调了支持质量的重要性,包括需要灵活、及时和非评判 性的支持:这些结果强调了精神分裂症患者在出院时所需支持的多面性。支持的类型和质量都很重要。本研究中的患者能够清楚地表达出对他们来说重要的支持类型和质量。在评估支持需求和制定建议的过程中,职业治疗师可能会从与患者的更多合作中受益。需要进一步探讨职业治疗师如何确定人们多方面的支持需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Supports that help me to live well in the community: experiences of people living with schizophrenia

Supports that help me to live well in the community: experiences of people living with schizophrenia

Introduction

People with schizophrenia are more likely to be hospitalised than any other psychiatric diagnosis. Occupational therapists working in mental health are often required to assess and recommend supports that will assist people with schizophrenia to live successfully in the community. There is little research exploring consumer perspectives regarding the support they find useful to stay out of the hospital. The aim of this study was to explore what supports people living with schizophrenia identify as helping them to live in the community and stay out of the hospital.

Method

Qualitative data were collected via semi-structured interviews with adult consumers (N = 18) diagnosed with schizophrenia. Data were thematically analysed using constant comparative analysis methods. Inductive analysis was followed by a deductive phase of analysis.

Findings

Participants highlighted personal-, occupational- and environmental-focused supports. Person-focused supports addressed cognitive and psychological needs. Occupation-focused supports included assisting people to manage daily life with a mental illness; engage in social activities; and engage in meaningful activities. Environment-focused supports included access to financial security; accommodation security; and community of choice. In addition to types of support, participants highlighted the importance of quality of support including the need for flexible; timely; and non-judgemental support.

Conclusion

These results emphasise the multifaceted nature of support required by people living with schizophrenia to stay out of the hospital. Both type and quality of support are important. People in this study were able to clearly articulate the types and qualities of support that were important to them. Occupational therapists may benefit from greater collaboration with consumers during assessments of support needs and the development of recommendations. Further exploration of how occupational therapists identify people's multifaceted support needs is required.

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来源期刊
CiteScore
2.80
自引率
16.70%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.
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