Study of understanding the internalized stigma of schizophrenia in psychiatric nurses in Japan
Study of understanding the internalized stigma of schizophrenia in psychiatric nurses in Japan
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DOI：
10.1111/j.1440-1819.2011.02307.x
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发表时间：
2012-03-01
影响因子：
11.9
通讯作者：
Nakane, Yoshibumi
中科院分区：
文献类型：
--
作者：
Hanzawa, Setsuko;Nosaki, Akiko;Nakane, Yoshibumi
目的：内化污名是一个结构，反映了一个人接受社会认可的精神疾病信念的程度。在精神分裂症谱系障碍患者中，内化的耻辱感被发现可以调节洞察力与社会功能、希望和自尊之间的关联。在精神分裂症患者的家庭中，内化的耻辱感不仅可能阻碍寻求帮助，而且可能导致家庭试图在没有精神卫生服务的帮助下自己提供护理。在日本，人们对服务提供者，特别是精神科护士的内在污名知之甚少。因此，我们调查了内化的耻辱和信念之间的相关性最适当的形式的住院精神科nurs.Methods：研究对象是215精神科护士雇用的精神病医院谁完成个人耻辱量表，感知耻辱量表，社区生活困难量表（DCLS）就慢性精神分裂症的情况vignette。内在的耻辱感与精神科护士更大的“关于最适当的住院形式的信念”呈正相关。我们还发现，更强的“信念的社会不利的精神分裂症患者在社区”正相关，更强的“信念的最适当的住院形式”。结论：目前的研究结果表明，在日本精神病医院聘用的精神科护士有一个悲观的看法，精神分裂症患者及其家庭的社区生活。精神科护士的信念与其对病人与家庭之间的依赖关系的理解有关，与儒家的理想有关。
Aim: Internalized stigma is a construct that reflects the degree to which a person accepts beliefs endorsed by society about mental illness. Among people with schizophrenia spectrum disorders, internalized stigma has been found to moderate the associations between insight and social function, hope, and self-esteem. Among families of patients with schizophrenia, internalized stigma may not only hinder help-seeking but also result in the families attempting to provide care themselves, without assistance from mental health services. Little is known about internalized stigma among service providers, especially psychiatric nurses in Japan. Therefore, we investigated the correlation between internalized stigma and beliefs about the most appropriate form of hospitalization among psychiatric nurses.Methods: The subjects were 215 psychiatric nurses employed in psychiatric hospitals who completed the personal stigma scale, perceived stigma scales, and Difficulty of Community Living Scale (DCLS) with respect to a chronic schizophrenia case vignette.Results: Internalized stigma was positively correlated with greater 'beliefs about the most appropriate form of hospitalization' among psychiatric nurses. We also showed that stronger `beliefs about the social disadvantages of schizophrenia patients in the community' was positively correlated with stronger `beliefs about the most appropriate form of hospitalization'.Conclusion: The present findings suggest that the psychiatric nurses employed at Japanese psychiatric hospitals have a pessimistic view of the community living of people with schizophrenia and their families. And these psychiatric nurses' beliefs were related to their understanding of the deeply dependent relationship between patients and families, and was related to the Confucian ideal.