慢性精神疾病患者的家庭韧力研究

发布时间：2018-05-06 04:24

本文选题：精神疾病 + 家庭韧力　；参考：《云南大学》2012年硕士论文

【摘要】：世界卫生组织的调查结果显示,全球逾10亿人存在精神健康问题,包括慢性精神疾病到创伤、大量痛苦体验等。当前我国精神卫生工作面临着巨大的挑战,精神疾病在我国疾病总负担中排名已居首位,约占疾病总负担的20%。面对严峻的精神疾病形势,本研究采用质性研究方法,通过对11名在M会所接受社区康复服务的慢性精神疾病患者及其家属进行访谈,其家庭韧力的建构历程是一个动态的过程,慢性精神疾病患者家庭韧力是通过以下三个维度进行建构的：家庭信念系统的建构；家庭组织模式的调整；家庭沟通过程的转变。本研究发现促进慢性精神疾病患者家庭韧力建构的关键因子：直接照料者与社区康复机构。本研究着重探究了阻碍慢性精神疾病患者家庭韧力建构的诸多因子,如家庭成员间的冲突；依然存在于家庭成员中的“病耻感”；沉重的经济压力；逐渐丧失的康复信心；积聚的仇恨与愤怒；脆弱的社会支持网络；严重的社会歧视等。最后,本研究依据慢性精神疾病患者家庭韧力的研究成果,提出了从社会工作角度增强家庭韧力的对策和建议。
[Abstract]:More than 1 billion people worldwide have mental health problems, ranging from chronic mental illness to trauma and a lot of painful experiences, according to the World Health Organization. At present, mental health work in China is facing great challenges. Mental illness ranks first in the total burden of disease in China, accounting for about 20% of the total burden of disease. In the face of severe mental illness situation, this study used qualitative research method to interview 11 patients with chronic mental illness and their families who received community rehabilitation service in M Club. The construction process of family resilience is a dynamic process. The family resilience of patients with chronic mental illness is constructed through the following three dimensions: the construction of family belief system, the adjustment of family organization model and the transformation of family communication process. This study found that direct caregivers and community rehabilitation institutions are the key factors to promote family resilience construction in patients with chronic mental illness. This study focuses on the factors that hinder the construction of family resilience in patients with chronic mental illness, such as the conflict among family members, the sense of "ill shame" that still exists among family members, the heavy economic pressure, the gradual loss of confidence in rehabilitation; Accumulated hatred and anger; a fragile social support network; severe social discrimination. Finally, based on the research results of family resilience of patients with chronic mental illness, the author puts forward some countermeasures and suggestions to enhance family resilience from the perspective of social work.
【学位授予单位】：云南大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R749

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