日本地区精神残疾者持续社区生活的视角:从个人康复的角度。

Taichi Narita, Mayumi Ishida, Madoka Sakurai, Ramsdl Jayathilake, Tomohiro Shimizu, Keiko Kobayashi
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引用次数: 0

摘要

目的:日本已作出努力,将精神障碍患者从住院医疗护理过渡到社区生活。为了促进以社区为基础的综合护理系统的发展,有效地解决精神障碍问题,必须从个人的角度澄清问题。本研究旨在从个人康复的角度探讨长期住院治疗的精神障碍患者支持其社区继续生活的观点。材料与方法:进行描述性定性研究。九名居住在日本的智障人士接受了采访。访谈于2021年9月至2023年12月期间进行,采用访谈协议指导的半结构化格式。访谈记录采用反身性主题分析进行分析。结果:确定了关于未来生活的七个主题:“以自己的方式生活的愿望”、“实现希望和目标”、“与社会和他人联系的愿望”、“对未来的积极态度”、“对自己和家人晚年生活的关注和准备”、“不确定的未来”和“身体症状的改善”。确定了与社区生活问题有关的八个主题:“难以控制症状和自我管理药物”、“健康恶化对日常生活、就业和学习的影响”、“社交退缩和与他人失去联系”、“家庭成员的过度干预和关系恶化”、“照顾年迈父母及其健康问题”、“缺乏他人的理解和支持”、“难以利用公共支持”和“可持续住房和财务问题”。结论:专业人员必须相信精神障碍患者有能力实现个人康复,并坚持支持他们的选择和决定。有必要根据社区居住患者的需求,建立以康复为导向的综合性精神障碍社区护理体系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perspectives on the continuing community lives of individuals with mental disabilities in regional Japan: from the viewpoint of personal recovery.

Objective: Efforts have been made in Japan to transition individuals with mental disorders from inpatient medical care to community life. To promote the development of a community-based comprehensive care system that effectively addresses mental disorders, it is essential to clarify the issues from an individual's perspective. This study aimed to examine the perspectives of individuals with mental disorders who have experienced long-term hospitalization to support their continued life in the community from the viewpoint of personal recovery.

Materials and methods: A descriptive, qualitative study was conducted. Nine individuals with mental disabilities living in Japan were interviewed. The interviews were conducted between September 2021 and December 2023 using a semi-structured format guided by the interview protocol. The interview transcripts were analyzed using reflexive thematic analysis.

Results: Seven themes regarding future life were identified: "desire to live in one's own way", "realizing hopes and goals", "desire to connect with the society and others", "positive attitude toward the future", "concerns and preparations for one's own later life and that of one's family", "an uncertain future", and "improvement of physical symptoms". Eight themes associated with issues in community living were identified: "difficulty in controlling symptoms and self-management of medication", "impact of deteriorating health on daily life, employment, and studies", "social withdrawal and loss of connection with others", "excessive interference from family members and deterioration of relationships", "caring for elderly parents and their health issues", "lack of understanding and support from others", "difficulty in utilizing public support", and "sustainable housing and financial issues".

Conclusion: Professionals must believe in the ability of individuals with mental disorders to achieve personal recovery and persistently support their choices and decisions. It is necessary to build a recovery-oriented and comprehensive community care system that responds to mental disorders based on the needs of community-dwelling patients.

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