重病患者家属的个案工作介入研究

发布时间：2018-06-13 23:14

本文选题：重病患者家属 + 优势视角　；参考：《河北大学》2017年硕士论文

【摘要】：疾病作为影响家庭生活方式的重要因素,在家庭生活中不可避免。家庭中的重病患者需要照顾,家属因照顾家庭中重病患者而付出长期的经济、生理和心理等方面的代价,进而产生了失落、失望、社交孤立和抑郁等负面情绪,严重影响个人的身心健康,不利于家庭的和谐发展。随着对重病患者照顾的时间加长,其家属的个人问题更加凸显,面临着诸多困境。本研究以保定市某社区内一位长期铜代谢病患者的妻子为介入对象,运用优势视角和社会支持等相关理论,借助倾听、接纳、澄清、支持等社会工作实务技巧,尝试通过社会工作个案介入来改善重病患者家属所面临的问题,帮助其恢复正常的社会生活。个案工作服务以发现服务对象优势、提高服务对象自信、构建与扩展其社会支持网络、最终恢复正常社会功能为目标,采用社会工作通用模式,经历五个阶段的服务,使服务对象抑郁状态有所减轻、社会交往面扩大、社会支持网络扩展、生计问题有所好转,结果证明社会工作介入取得了一定的成效。研究发现,重病患者家属迫于经济、心理、社会交往等方面的压力,对自身优势资源认识和利用不足,需在社工协助下将社会生态系统与个人生态系统相结合,把个体优势嵌入社会需求中,恢复个体信心与效能,发展个体正常的社会功能。
[Abstract]:As an important factor affecting family life style, disease is inevitable in family life. The seriously ill patients in the family need to be cared for, and the family members pay the long-term economic, physical and psychological costs of taking care of the seriously ill patients in the family, thus creating negative emotions such as loss, disappointment, social isolation, and depression. Seriously affect the physical and mental health of the individual, is not conducive to the harmonious development of the family. With the prolonged care for seriously ill patients, the personal problems of their families become more prominent and face many difficulties. This study took the wife of a long-term copper metabolic disease patient in a community in Baoding as the intervention object, used the advantage angle of view and social support theory, with the help of listening, acceptance, clarification, support and other social work practical skills. This paper attempts to improve the problems faced by the family members of seriously ill patients through the intervention of social work cases and to help them to restore normal social life. Case work service aims to discover the advantages of service objects, improve their self-confidence, construct and expand their social support networks, and finally restore their normal social functions. It adopts a common model of social work, and goes through five stages of service. The results show that the social work intervention has achieved some results, such as reducing the depressed state of the service object, expanding the social interaction, expanding the social support network, and improving the livelihood problem. The study found that the families of seriously ill patients are under the pressure of economic, psychological and social communication, so they need to combine the social ecosystem with the individual ecosystem with the help of social workers. The individual superiority is embedded in the social demand to restore the individual confidence and efficiency and to develop the individual's normal social function.
【学位授予单位】：河北大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：C916

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