SELF-CARE AND SUPPORT-SYSTEM AMONG PEOPLE WITH MENTAL ILLNESS WH0 WERE SUCCESSFUL COMMUNITY LIVING

摘要本研究旨在探讨成功社区生活的精神疾病患者自我照顾的支持系统模式。1998年，通过对28名精神疾病患者进行半结构化访谈，建立了支持系统，这些患者自发病以来在社区生活的时间超过60%。1999年，通过对19名精神疾病患者和29名专业人员的半结构化访谈，对模型进行了改进，结果表明：1)精神疾病患者控制了他们的症状，他们决定与他们的疾病生活在一起。然后，他们将自己的网络从家庭扩展到社区的朋友。他们通过在现实中做一些力所能及的事情来获得信心。此外，他们利用日托和工作场所来度过他们的时间。另一方面，他们把这些地方当作社交技巧的训练。他们发展自己的社交网络，从家庭、专业人士到网络上的朋友……更多的是社区。他们通过这些互动而社会化。特别是，他们利用专业人士作为顾问，然后在社区中发展他们的网络。3)成功社区生活的精神疾病患者自我保健的现实情况如下；他们设计了自己的烹饪方法，控制症状，特别是他们控制了活动和休息之间的平衡。他们的日常生活充满了希望和对日常生活的满足。专业人员的支持包括评估、身心支持和护理。评估包括症状、患者的发展阶段、与家人的关系和自我保健。5)本研究建议专业人员应首先评估精神疾病患者的自我护理和治疗过程，以促进他们的社区生活。专业人员应提供精神疾病患者所需要的支持性环境和服务。少

THE PORPOSE OF THIS STUDY WAS TO DEVELOP THE MODEL OF SUPPORT-SYSTEM FOR SELF-CARE AMONG PEOPLE WITH MENTAL ILLNESS WHO WERE SUCCESSFUL COMMUNITY LIVING. IN 1998, SUPPORT-SYSTEM WAS DEVELOPED THROUGH SEMI-STRUCTURED INTERVIEWING TO 28 PEOPLE WITH MENTAL ILLNESS WHO WERE LIVING THE COMMINUTY MORE THAN 60% PERIOD SINCE THEIR ONSET. AND IN 1999, MODEL WAS REFINED THROUGH SEMI-STRUCTURED INTERVIEWING TO BOTH 19 PEOPLE WITH MENTAL ILLNESS AND 29 PROFESSIONALS, THESE RESULTS WERE AS FOLLOWS :1) PEOPLE WITH MENTAL ILLNESS HAD CONTROOLED THEIR SYMPTOMES AND THEY DECIDED TO LIVE WITH THEIR ILLNESS. THEN THEY SPREAD OUT THEIR NETWORK FROM FAMILY TO FRIENDS IN THE COMMUNITY. THEY GOT THEIR CONFIDENCE THROUGH DOING SOMETHING WHAT THEY COULD IN THE REALITY. FURTHERMORE THEY MADE USE OF DAY-CARE AND WORKING PLACES TO SPEND THEIR TIME IN THE DAY. ON THE OTHER HAND, THEY USED THOSE PLACES AS SOCIAL SLILLS TRAINING.2) THEY DEVELOPED THEIR SOCIAL NETWORK FROM FAMILY, PROFESSIONALS, TO FRIENDS IN THE COM … More MUNITY. THEY WERE SOCIALIZED THROUGH THOSE INTERACTIONS. SPECIALLY THEY MADE USE OF PROFESSIONALS AS CONSULTANT AND THEN THEY DEVELOPED THEIR NETWORK IN THE COMMUNITY.3) THE REALITIES OF SELF-CARE AMONG PEOPLE WITH MENTAL ILLNESS WHO WERE SUCCESSFUL COMMUNITY LIVING WERE THE FOLLOWING ; THEY DEVISED THEIR COOKING, SYMPTOME-CONTROL, AND SPECIALLY THEY CONTROLLED THE BALANCE BETWEEN ACTIVITY AND REST. THEIR DAILY LIVES WERE MADE OF HOPE AND SATISFACTION OF THEIR DAILY-LIVES. AND IT WAS RELE\ATED TO WHAT THEY COULD DO IN THE PAST.4) SUPPORT FROM PROFESSIONALS WERE INCLUDED ASSESSMENT, PHYSICAL & PSYCHOLOGICAL SUPPORT AND CARE. ASSESSMENT INCLUDED SYMPROMES, DEVELOPMENT STAGES OF PATIENTS, RELATIONSHIP WITH FAMILIES, AND SELF-CARE.5) THIS STUDY SUGGESTTED THAT IN ORDER TO PROMOTE COMMUNITY LIVING OF PEOPLE WITH MENTAL ILLNESS WAS PROFESSIONALS SHOULD ASSESS SELF-CARE AND THE PROCESS OF TREATMENT FIRST. THEN PROFESSIONALS SHOULD PROVIDE SUPOIRTIVE ENVIRONMENT & SERVICES WHICH WERE NEEDED BY PEOPLE WITH MENTAL ILLNESS. Less