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地域居住者15名の精神疾患者の生存ストレスに関する質的研究．
[Qualitative Study on Survival Stressors of 15 Community-dwelling People with Mental Illness].
PMID: 32616133 DOI: 10.3881/j.issn.1000-503X.11504.
抄録
精神障害を持つ地域住民の生存ストレスを理解する。 本研究では、15例を目的別に抽出し、半構造化された個別面接を実施した。 その結果、精神症状や薬物の副作用による生理的ストレス、精神疾患の結果や日常生活での役割分担による心理的ストレス、社会的差別や就労機会の欠如、社会福祉資源の獲得困難などの社会的・環境的ストレス、差別や家族関係の悪化による対人ストレスの4つのテーマが抽出された。 地域に住む精神疾患者は、家族や社会に復帰した後の生存ストレスが高く、そのストレス要因として、病気の症状、社会的差別、対人関係などが挙げられます。
To understand the survival stress of community-dwelling people with mental disorder. Fifteen cases were selected by purposive sampling and received semi-structured individualized interviews.The data were analyzed by Colaizzi framework and themes were extracted. Four themes were extracted:physiological stress due to psychiatric symptoms and side effects of drugs;psychological stress due to the outcome of mental illness and to conflict of roles in daily life;social and environmental stress such as social discrimination,lack of job opportunities,and difficulty in obtaining social welfare resources;and interpersonal stress caused by discrimination and deteriorating family relations. Community-dwelling people with mental illness have a higher level survival stress after returning to their families and society,with the stressors including symptoms of illness,social discrimination,and interpersonal relationship.Eliminating self-discrimination of the patients,improving social support and social welfare system,and increasing individualized community mental rehabilitation activities may reduce the survival stress of these patients and promote their rehabilitation.