Disease course in Schizophrenia：an analysis of patients and their families viewpoint

• Main Authors: Shu-Hui Wang, 王舒慧
• Other Authors: Wen-Kao Hsiao
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/82wg88

碩士 === 朝陽科技大學 === 社會工作系碩士班 === 101 === Schizophrenia is a functional disease. The longer time of the symptom onset, the syndrome of the patients appears more chronic characters and they need to have a long term nursing. Therefore, their families play a main role of nursing, which easily becomes a burden for family caregivers. Due to the high relapse and rehospitalization rates, their families often have a tendency to put off the time of discharging the patients from the hospital. Even after the patients are back to live in the community, they still have to face some problems, such as the lack of nursing, medication adherence, the accessibility of the community resource. The other problem is the misunderstanding of the society to the patients, as the media reports always describe the disease in an exaggerated way. Hence, the research focuses on the three dimensions: 1.To understand the schizophrenic patient’s illness history and experience. 2.To understand the schizophrenic patient’s families’ experience toward the illness history of the patient. 3.To induce a conclusion of the obstacles and remedy aid for the schizophrenic patient. The research is based on the qualitative method, and conducts in-depth interviews for data collection and analyzation. Through the research of the three schizophrenic patients and family caregivers, the study induces the factors of resistance and remedy aid in the historical timeline for the schizophrenic patients. The research results can be summarized as below: 1.Prodromal and active stage: The study focuses on how participants explained the symptoms, which are not referred to the symptoms are caused by the disease. They have their own understandings, and mostly they consider the causes are attributed to external events. Moreover, they adopt various ways to cope with the symptoms based on the understanding of the symptoms and suggestions by others. 2.Repeat treatment stage:The patients appear negative and doubtful mentality after they acquire the diagnosis. By repeatedly receiving medical treatments, they can also resolve their doubts. In regards to the experience of medical treatments in the hospital, they express the main treatments are medicines against the symptoms. The community support systems are not continually being conducted after they leave the hospital. The patients understand the medicines are helpful but the side effects affect their regular time of taking medicine. 3.Stable stage:The remedy aid in this stage include professional assistance, supports from significant others and religious groups; the obstacles which affect the recovery from their illness included not participating in the psychiatric community rehabilitation Institutions, negative experiences, and lack of connection with others. From the caregivers, the study discovers that the nursing responsibility mainly belongs to the patient’s families and their sentiment easily be affected by the care burden. If there is a connection with the social welfare resources, the pressure of the caregivers could be released. They can transfer the patients to the long term care institutions if they could not have a better arrangement for the patients. Recommendations: 1.The patients and their families could be more active to obtain the related resources. 2.People should be empathy with the experiences of the patients and their families. 3.To implement the transition service of the community support system. 4.To reduce the stereotypes of the mental diseases.