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

成功社区生活的精神疾病患者的自我护理和支持系统

• 批准号: 10672252
• 负责人: USAMI Shiori
• 金额: $ 0.38万
• 依托单位: COLLEGE OF NURSING ART & SCIENCE, HYOGO
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1998
• 资助国家: 日本
• 起止时间: 1998 至 1999
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10672252/
• 关键词: SELF-CARE; SUPPORT-SYSTEM; COMMUNITY LIVING; PEOPLE WITH MENTAL ILLNESS; 地域ケア

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

本研究旨在开发社区生活成功的精神病患者的自我护理支持系统模型。1998年，采用半结构访谈法，对28例发病60%以上的精神疾病患者进行了访谈，建立了支持系统。1999年，通过对19名精神疾病患者和29名专业人员的半结构式访谈，对模型进行了细化，结果如下：1)精神疾病患者控制了自己的症状，决定与自己的疾病生活在一起。然后他们把自己的关系网从家人扩展到社区里的朋友。他们通过在现实中做一些他们能做的事情来获得信心。此外，他们利用托儿所和工作场所度过一天中的时间。另一方面，他们利用这些地方作为社交网络的载体。他们在COM…中建立了从家人、专业人士到朋友的社交网络更多的社区生活。通过这些互动，他们被社会化了。他们特别利用专业人员作为顾问，然后在社区中建立了自己的网络。3)成功地在社区生活的精神疾病患者的自我护理现实如下：他们设计了烹饪、SYMPTOME控制，特别是他们控制活动和休息之间的平衡。他们的日常生活是由他们日常生活的希望和满足组成的。4)来自专业人员的支持包括评估、生理和心理支持以及护理。评估内容包括心理健康状况、患者的发展阶段、与家人的关系和自我关怀。5)本研究建议，为了促进精神疾病患者的社区生活，专业人员应首先评估自我护理和治疗过程。然后，专业人员应该为精神疾病患者提供所需的支持环境和服务。较少

项目成果

住吉亜矢子・宇佐美しおり 他: "精神障害者が家族からうけているサポートに関する認識の実態"兵庫県立看護大学紀要. VOL.7. 109-122 (2000)

Ayako Sumiyoshi、Miori Usa 等：“关于精神障碍者从其家庭获得的支持的实际看法”兵库县立护理学院公告 VOL.7（2000 年）。

SHIORI USAMI, AYAKO SUNMIYOSHI, ET AL.: "SOCIAL SUPPORT NETWORK TO PROMOTE COMMUNITY LIVING AMONG PEOPLE WITH MENTAL ILLNESS"COLLEGE OF NURSING ART AND SCIENCE HYOGO BULLETIN. VOL.7. 59-70 (2000)

宇佐美诗织、三吉绫子等：“促进精神疾病患者社区生活的社会支持网络”兵库护理艺术科学学院通报。

住吉亜矢子.宇佐美しおり他: "精神障害者が家族から受けているサポートに関する認識の実態"兵庫県立看護大学紀要. VoL.7. 109-122 (2000)

Ayako Sumiyoshi、Miori Usami 等人：“关于精神障碍者从其家庭获得的支持的实际状况”兵库县护理学院公告 Vol.7 (2000)。

宇佐美しおり 他: "精神障害者の地域生活の維持・促進に関するソーシャルサポートネットワークの実態"兵庫県立看護大学紀要. VOL.7. 59-70 (2000)

Miori Usa 等人：“维持和促进精神障碍者社区生活的社会支持网络的实际状况”兵库县护理学院公告 VOL.7（2000 年）。

AYAKO SUMIYOSHI, SHIORI USAMI ET AL.: "THE REALITIES OF FAMILY SUPPORT PERCEIVED BY PEOPLE WITH MENTAL ILLNESS IN THE COMMUNITY"COLLEGE OF NURSING ART AND SCIENCE HYOGO BULLETIN. VOL.7. 109-120 (2000)

AYAKO SUMIYOSHI、SHIORI USAMI 等人：“社区精神疾病患者所感受到的家庭支持的现实”兵库县护理艺术与科学学院通报。