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재가 정신질환자 가족의 경험연구
The Study of the Experience of Families with Chronic Psychiatric Patients
이정섭(Jeong Seop Lee)
정신간호학회지 7권 2호 245-256(12pages)
UCI I410-ECN-0102-2009-510-008075800

The purpose of this study was to understand the experience of families with chronic psychiatric patients. Subjects were composed of 7 families. Data was collected by unstructured interviews, and then Van Kaam`s methodology used for data analysis. The major findings as followings : The total number of significant statements was 121. They classified into 3 categories such as the experience of burden, the experience of the return to the society, and the experience related coping. Each category was explained as followings. Being parenthesized the number of significant statement. 1) In the experience of burden, 3 theme appeared ; psychological burden(27), economical burden(16), burden of social attitude(13). Theme cluster attached theme as followings. Psychological burden include 3 theme cluster : burnout(20), anxiety(5), depression(2). Economic burden include 1 theme cluster : economic hardship (16). Burden of social attitude 2 theme cluster ; burden of disclosure(11), rejection labeling(2). 2) The experience of the return to the society include 3 theme appeared ; To be anxious about damage to social function(19), fail to treatment(11), lack of accessibility to resources(8). To be anxious about damage to social function include 3 theme cluster ; To be anxious about the rupture of human relations(12), to be anxious about disability to self-control(5), and to be anxious about lack of insight(2). Fail to treatment 3 theme cluster : noncooperation(6), misconception(4), distrust medical team(1). Lack of accessibility to resource 2 theme cluster ; lack of family support (7), lack of information(1). 3) The experience related coping include 2 theme ; passive coping and active coping. Passive coping include 5 theme cluster ; ignoring human value(8), acceptance(5), avoidance(3), hostile experience(2), solving the basic needs(2). Active coping 3 theme cluster ; strengthening the will(3), training ADL(3), assertive self-expression(1). Based on this understanding, we must recognize patients and family`s diverse burden, develop coping tactics for their social rehabilitation.

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