{"title":"慢性精神疾病患者家庭成员的污名感对家庭弹性的影响：横断面研究。","authors":"Ayşe Sarı, Figen Şengün İnan, Zekiye Çetinkaya Duman, Erkan Ünsal","doi":"10.1111/jpm.70029","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>In the provision of comprehensive care, it is important to identify factors that affect the resilience of family caregivers of people with a chronic mental illness.</p><p><strong>Aim: </strong>This study was aimed at investigating the association between perceived family stigma and family resilience among family caregivers of people with a chronic mental illness.</p><p><strong>Method: </strong>In the study, the cross-sectional, correlational design was used. The sample consisted of 158 family caregivers of individuals diagnosed with a chronic mental illness (schizophrenia and bipolar disorder) who were attending an outpatient unit of a university hospital. Data were collected using the stigma section of the Family Interview Schedule (FIS), and Family Hardiness Index and Sociodemographic Characteristics Form. Multiple linear regression analysis was used to analyse the data. In the reporting of the study, the STROBE checklist was used.</p><p><strong>Results: </strong>Family stigma (β = -0.564, p = 0.001) and duration of caregiving (β = -0.396, p = 0.001) were associated with family resilience. In the model, family stigma and duration of caregiving accounted for 30% of the variance in family resilience (Adjusted R<sup>2</sup> = 0.300) (F = 33.142, p = 0.001).</p><p><strong>Conclusion: </strong>Perceived stigma of the family and duration of caregiving are important determinants of family resilience. There was a significant negative relationship between family stigma and family resilience.</p><p><strong>Limitations: </strong>The fact that the study was conducted in a single hospital may have affected the generalisability of the results in terms of sample diversity. The hospital where the research was conducted is a university hospital and thus it is thought that supportive services for caregivers are relatively better. The other limitation is that a cross-sectional design was used, making it impossible to identify causal relationships.</p><p><strong>Recommendations: </strong>It is recommended that the long-term effects of perceived stigma of caregivers on family resilience be investigated in future studies. It is recommended that mental health nurses plan nursing interventions to reduce the family's perceived stigma in order to increase family resilience.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9000,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Investigation of the Role of Perceived Stigma on Family Resilience in Family Members of People With A Chronic Mental Illness: A Cross-Sectional Study.\",\"authors\":\"Ayşe Sarı, Figen Şengün İnan, Zekiye Çetinkaya Duman, Erkan Ünsal\",\"doi\":\"10.1111/jpm.70029\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>In the provision of comprehensive care, it is important to identify factors that affect the resilience of family caregivers of people with a chronic mental illness.</p><p><strong>Aim: </strong>This study was aimed at investigating the association between perceived family stigma and family resilience among family caregivers of people with a chronic mental illness.</p><p><strong>Method: </strong>In the study, the cross-sectional, correlational design was used. The sample consisted of 158 family caregivers of individuals diagnosed with a chronic mental illness (schizophrenia and bipolar disorder) who were attending an outpatient unit of a university hospital. Data were collected using the stigma section of the Family Interview Schedule (FIS), and Family Hardiness Index and Sociodemographic Characteristics Form. Multiple linear regression analysis was used to analyse the data. In the reporting of the study, the STROBE checklist was used.</p><p><strong>Results: </strong>Family stigma (β = -0.564, p = 0.001) and duration of caregiving (β = -0.396, p = 0.001) were associated with family resilience. In the model, family stigma and duration of caregiving accounted for 30% of the variance in family resilience (Adjusted R<sup>2</sup> = 0.300) (F = 33.142, p = 0.001).</p><p><strong>Conclusion: </strong>Perceived stigma of the family and duration of caregiving are important determinants of family resilience. There was a significant negative relationship between family stigma and family resilience.</p><p><strong>Limitations: </strong>The fact that the study was conducted in a single hospital may have affected the generalisability of the results in terms of sample diversity. The hospital where the research was conducted is a university hospital and thus it is thought that supportive services for caregivers are relatively better. The other limitation is that a cross-sectional design was used, making it impossible to identify causal relationships.</p><p><strong>Recommendations: </strong>It is recommended that the long-term effects of perceived stigma of caregivers on family resilience be investigated in future studies. 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引用次数: 0
摘要
在提供综合护理时，重要的是要确定影响慢性精神疾病患者的家庭照顾者的复原力的因素。目的：本研究旨在探讨慢性精神疾病患者家庭照顾者的家庭污名感与家庭弹性的关系。方法：采用横断面相关设计。样本包括158名被诊断患有慢性精神疾病（精神分裂症和双相情感障碍）的家庭护理人员，他们在一所大学医院的门诊就诊。数据采用家庭访谈表（FIS）的污名部分、家庭耐寒指数和社会人口学特征表收集。采用多元线性回归分析对数据进行分析。在研究报告中，使用了STROBE检查表。结果：家庭耻辱感（β = -0.564, p = 0.001）和照料时间（β = -0.396, p = 0.001）与家庭心理弹性相关。在模型中，家庭耻辱感和照顾持续时间占家庭弹性方差的30%（调整后R2 = 0.300） （F = 33.142, p = 0.001）。结论：家庭污名感和照料时间是家庭复原力的重要决定因素。家庭耻感与家庭韧性呈显著负相关。局限性：该研究是在一家医院进行的，这一事实可能影响了样本多样性方面结果的普遍性。进行这项研究的医院是一所大学医院，因此人们认为，对护理人员的支持服务相对更好。另一个限制是使用了横断面设计，因此无法确定因果关系。建议：建议在未来的研究中调查照顾者感知耻辱对家庭恢复力的长期影响。建议心理健康护士计划护理干预措施，以减少家庭的感知耻辱，以增加家庭弹性。
Investigation of the Role of Perceived Stigma on Family Resilience in Family Members of People With A Chronic Mental Illness: A Cross-Sectional Study.
Introduction: In the provision of comprehensive care, it is important to identify factors that affect the resilience of family caregivers of people with a chronic mental illness.
Aim: This study was aimed at investigating the association between perceived family stigma and family resilience among family caregivers of people with a chronic mental illness.
Method: In the study, the cross-sectional, correlational design was used. The sample consisted of 158 family caregivers of individuals diagnosed with a chronic mental illness (schizophrenia and bipolar disorder) who were attending an outpatient unit of a university hospital. Data were collected using the stigma section of the Family Interview Schedule (FIS), and Family Hardiness Index and Sociodemographic Characteristics Form. Multiple linear regression analysis was used to analyse the data. In the reporting of the study, the STROBE checklist was used.
Results: Family stigma (β = -0.564, p = 0.001) and duration of caregiving (β = -0.396, p = 0.001) were associated with family resilience. In the model, family stigma and duration of caregiving accounted for 30% of the variance in family resilience (Adjusted R2 = 0.300) (F = 33.142, p = 0.001).
Conclusion: Perceived stigma of the family and duration of caregiving are important determinants of family resilience. There was a significant negative relationship between family stigma and family resilience.
Limitations: The fact that the study was conducted in a single hospital may have affected the generalisability of the results in terms of sample diversity. The hospital where the research was conducted is a university hospital and thus it is thought that supportive services for caregivers are relatively better. The other limitation is that a cross-sectional design was used, making it impossible to identify causal relationships.
Recommendations: It is recommended that the long-term effects of perceived stigma of caregivers on family resilience be investigated in future studies. It is recommended that mental health nurses plan nursing interventions to reduce the family's perceived stigma in order to increase family resilience.
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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