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

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

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