题名

社區老年精神病患家屬之照顧負荷

并列篇名

Burden of the Caregiver from Caring Elderly Psychiatric Patients in the Community

DOI

10.29494/LN.202203_23(1).0002

作者

林仕苾(Shih-Pi Lin)；林美華(Mei-Hwa Lin)；鍾玉珠(Yu-Chu Chung)

关键词

老年精神病人 ； 家屬 ； 負荷 ； elderly psychiatric patients ； caregiver ； burden

期刊名称

領導護理

卷期/出版年月

23卷1期（2022 / 03 / 01）

页次

11 - 19

内容语文

繁體中文
中文摘要

精神疾病患者在步入老年時期，隨年齡增長，除了精神疾病還會合併生理問題與身體失能，健康照顧需求會更多，需要跨科醫療及護理服務，社區老年精神病患的後續長期照顧需求需多元化、全人、全時及全方位服務。家屬則承擔許多照護責任，造成不同的疾病負荷，精神病患照顧者應具備正確的觀念與態度，才能夠照顧好自己，進而幫助病人，筆者提出具體的自我調適之建議，提供照顧者參考：（1）家屬千萬不要自責，這不是任何人的錯；（2）照顧精神疾病的家人是所有家庭成員的共同責任；（3）家屬要對精神疾病說不，而不是對病人說不；（4）家屬必須自我照顧；（5）家屬要協助對抗精神疾病，醫療團隊和病人及家屬一起制定各項治療約定。建議未來需落實加強家屬或鄰里居民對老年精神疾病的認知，提供諮詢及教育，且透過社政單位徹底了解精神病患的家庭困境並協助解決，期能打造一個對老年精神病患之友善社區，並擴及整個社會國家。
英文摘要

As psychiatric patients aging, in addition to psychological illness, they will also encounter physical issues as well as disability. They demand more health care, require interdisciplinary medical and nursing services; therefore, the follow-up and long-term care demand of elderly mental patients in the community require diversified, whole-person, full-time and all-round services. Family members bear a lot of care responsibilities, causing diverse disease burdens. Caregivers should have correct concepts and attitudes to take care of themselves while helping patients. Authors put forward some specific self-adjustment suggestions for caregivers' reference: (1) family members ought not to blame themselves, it is not anyone's fault; (2) taking care of patients with psychosis is the common responsibility shared by all family members; (3) family members should say ＂no＂ to psychosis, not to the patients; (4) family members must take priority of self-caring; (5) family members should assist patients to combat psychosis; and work with the medical team, as well as the patients together to formulate various treatment agreements. It is recommended to strengthen awareness of elderly psychosis for family members or local residents, provide consultation and education. Furthermore, by thoroughly understand the plight of mental patients' families through social and political departments and assist in solving issues; in order to create a friendly community for the elderly psychiatric patients, and hence extend the service to the entire society and the country.
主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
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