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抑郁症患者病耻感的质性研究

Qualitative research on stigma of depression patients

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【作者】 郭全芳高晓翠张云红

【Author】 GUO Quan - fang~1, GAO Xiao - cui~1, ZHANG Yun - hong~2 , 1. Department of No. 3 Psychiatry, Ji’ ning Hospital for Prevention and Treatment of Psychiatric Diseases, Ji’ ning 272051 , China; 2. Depart-ment of Internal Medicine,Ji’ ning Lukang Hospital,Ji’ ning 272021 ,China

【机构】 济宁市精神病防治院精神三科济宁鲁抗医院内科

【摘要】 目的描述抑郁症患者的病耻感及其对病耻感的应对方式。方法采用现象学研究方法,通过立意取样和深入访谈,以半结构式访谈提纲,访谈了10位抑郁症患者,将获得的资料进行分析整理。结果抑郁症患者对所患疾病有深刻的羞耻感,主要表现在工作、学习、婚姻和人际交往等社会生活中,患者对病耻感的应对主要表现为隐瞒病情、回避社交、渴求彻底治愈疾病、试图教育他人等方式。结论医护人员应在治疗抑郁症疾病的同时,积极帮助患者应对病耻感,消除自身羞耻感,减少社会歧视,促进其康复和生活质量的提高。

【Abstract】 Objective To describe the experience of stigma in depression patients and their coping methods. Methods The phenomenologica] method was adopted in this study. Ten patients with depression were selected by purposive sampling and were interviewed in deep by semi — structured questionnaire. Results Depres- sion patients had a deep sense of shame for the disease,which showed in these aspects;job,study,marriage,and social interaction. The coping methods towards stig- ma mainly included concealing disease,fencing with sociality,being desired to cure diseases,trying to educate others,etc. Conclusion Medical and nursing staff should help them to cope stigma,eliminate shame,reduce social discrimination,promote rehabilitation and improve the quality of life.

【关键词】 抑郁症病耻感现象学研究法
【Key words】 depressionstigmaphenomenology
  • 【文献出处】 护理管理杂志 ,Journal of Nursing Administration , 编辑部邮箱 ,2009年12期
  • 【分类号】R473.74
  • 【被引频次】11
  • 【下载频次】456
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