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題 名 | 一所教學醫院精神科病患及家屬疾病認知與求醫行為之研究=Help-Seeking Behaviors and Disease Perception in Psychiatric Patients and Their Families in a Teaching Hospital |
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作 者 | 陳柏熹; 鄭淑惠; 楊延光; 葉宗烈; 陳信昭; 楊明仁; | 書刊名 | 臺灣家庭醫學雜誌 |
卷 期 | 12:1 2002.03[民91.03] |
頁 次 | 頁32-42 |
分類號 | 410.15 |
關鍵詞 | 家屬; 疾病認知; 求醫行為; 精神疾病; 患者; Minor mental disorder; Schizophrenia; Help-seeking behavior; Illness; |
語 文 | 中文(Chinese) |
中文摘要 | 精神疾病的慢性化過程為患者、家庭與社會帶來了許多不可忽視的問題。患者及其家屬對精神疾病之認知常影響其對現代醫療模式的接受度,也影響後續的照顧及治療模式,也間接影響醫療資源的使用及病患預後。為了解精神科病患及其家屬之疾病認知與求醫行為,本研究以一所教學醫院精神科門診及精神科病房病患及其家屬為研究對象,以連續採樣方式選取門診輕型精神疾患患者39人及其家屬31人,住院精神分裂症患者35人及其家屬41人,使用文榮光等翻譯之「分類用解釋模式會談問卷修訂版」,以半結構式訪談針對疾病認知、疾病影響、病因歸類、以及求助經驗與過程進行橫斷面敘述性研究。研究結果顯示(1)精神分裂症病患對疾病認知不足,而輕型精神疾患則對疾病過度憂慮;(2)半數以上患者之自尊心及婚姻生活受到疾病嚴重衝擊;精神分裂症病患家屬有強烈之自卑感與恥辱感;(3)精神分裂症患者家屬中41.2%採多重病因觀;(4)精神分裂症病患及家屬求助模式可分為尋求超自然療法與現代化精神醫療體系協助兩大類,且對家族系統之依賴較深。輕型精神疾患患者有64.1%先至一般科就診,而至綜合醫院求診之輕型精神疾患患者家屬也較少尋求精神醫療體系之協助。 針對民眾對精神疾病認知之特殊性進行心理衛生教育、重視輕型精神疾患對於病患之衝擊、強調家庭醫師診斷輕型精神疾病之重要性、並找出導致各類精神疾病延遲就醫之相關因子將有利於精神醫療系統之早期介入以減少精神疾病對社會之衝擊。 |
英文摘要 | The impact on the lasting of mental illnesses on patients, families and society is remarkable. The acceptability of modern psychiatric service of the patients and their families is affected by their perception of the illness causes and concepts. The follow-up treatment and choice of treatment modalities are also affected, and therefore will affect the utilization of medical resource and prognosis of the patients. This study was conducted to survey the help-seeking behaviors and disease perception in psychiatric patients and their families in a teaching hospital. There were 39 minor mental illness patients and 31 family members enrolled from the outpatient clinics and 35 schizophrenic patients and 41 family members enrolled from the acute psychiatric ward. They were administrated the translation edition of Explanatory Model Interview for Classification to do the cross sectional descriptive analysis. The results demonstrated that schizophrenic patients underestimate the severity of their illness and the minor mental illness patients overestimate the severity of their illness. More than half of patients' marital life and self-esteem were impacted seriously. Family members of schizophrenic patients showed low self-esteem and felt great shame. 41.2% of the schizophrenic patients held multiple perceptions of illness causes. Almost 30% of the schizophrenic patients and their family members cannot assimilate regular psychoeducation well after they had hospitalized for more than one month. Schizophrenic patients' help seeking behavior could be classified as seeking for folk therapy and modern psychiatric services. Over 90% of the schizophrenic patients' family members have used family systems as a resource. 64.1% of the minor mental disorder patients and their family members have visited physicians in family medicine first and less utilized modern psychiatric systems than schizophrenic. According to the above results, both the increasing the acceptability of modern service and emphasizing the important role of physicians in family medicine in treating minor mental disorders might advance the time of seeking medical help and reduce family burden. Beside, paying much attention to the impact of minor mental illness on patients and popularizing education for the public would achieve early intervention and reduce the waste of medical resource. |
本系統中英文摘要資訊取自各篇刊載內容。