住院精神障碍患者家属照护过程的质性研究——基于生物生态学理论

目的探讨住院环境下家属对精神障碍患者的照护过程,为医院的环境设置和患者的照护提出改进思路。方法采用质性研究互动模式设计,在住院病房进行观察,选取家属、患者和医护人员共8人进行深度访谈,并结合类属分析与情境分析对资料进行整合和描述。结果基于生物生态学理论分析发现,家属对住院精神障碍患者的照护是一种特殊的再社会化,在这一过程中,家属增进对疾病的理解、调整并适应照护角色、适应住院环境。结论家属、医护人员和社会应通力合作,为家属更明确、积极地参与到照护过程创造良好的环境。

Qualitative study on the care process of family members of inpatients with mental disorders: a perspective of bio-ecological theory

Objective To explore the care process of mental disorder patients by family members during hospitalization, and to provide reference for improving the hospital layout and care process. Methods With the interactive mode of qualitative research design, observation was conducted in the inpatient ward. A total of 8 family members, patients and medical staff were selected for in-depth interviews, and the information was integrated and described with category analysis and situation analysis. Results Based on the Bio-ecological Theory, analysis showed that the care process of family members for patients with mental disorders in hospital was a special re-socialization process, in which family members could enhance their understanding of the disease, adjust and adapt to the role of caregiver, and adapt to the hospitalization environment. Conclusion Family members, medical staff and society should work together to create a better environment for family members to participate in the care process more clearly and actively.