主編的話：復元：家人互動、復健與生活品質

Editorial Remark: Recovery: Family Interaction, Rehabilitation, and Quality of Life

10.6847/TJPMHN.202012_15(2).00

林靜蘭(Esther Ching-Lan Lin)

精神衛生護理雜誌

15卷2期（2020 / 12 / 01）

i - ii

繁體中文;英文

華人文化往往相當重視家人互動關係的家庭價值（Garcia, Mendez, Ellis, & Gautney, 2014），在精神病人復元歷程中，家人實有不可忽視的角色，吳、靖（2020）以質性訪談探究慢性思覺失調症病人復元歷程中與家人互動經驗，揭露了我國精神病人與家人緊密的互動關係，此家人互動及家人對精神疾病及治療的看法，對病人接受治療、自我觀感及復元歷程具有正負面影響，正呼應我國文化脈絡之特性，可知推動精神復元運動，宜重視家屬對於疾病及治療的觀感、以及其對於病人邁向復元的支持。而黃、黃（2020）調查東部住院慢性精神病患的生活品質，歸納出「職能復健」為影響住院慢性精神病患生活品質的主要因素，擁有支薪工作者其生活品質最佳，因之，呼籲政府當局及醫療院所宜積極重視慢性精神病患之復健需求，提供合適的復健服務，以協助其媒合就業、回歸社區。從「神仙水成癮個案度過譫妄」、「長期遭受家暴致重鬱症婦女創傷復原」、「運用人際社交節奏治療於雙相情緒障礙症患者」之三篇護理經驗（何、吳，2020；洪、黃，2020；杜、郭、簡、鄒、洪，2020），成功展現精神衛生護理角色的獨特功能。入秋以來，颱風接連形成，卻又一個個與台灣擦肩而過！今早我們「以復元病友為師活動」邀請復元老師們跟大學生共遊，意外來了個閃電颱風，雖然氣象預報這颱風會走得很快，但暴風圈卻可能碰觸陸地，著實讓我們神經緊繃、嚴加待陣。還好後來雨勢漸停，外出時已經完全雨停，讓我們在「屋陰天中的好日子」一起共遊，體驗人生裡雖總難免有烏陰天，但別忘一起仰頭望望那抹預告即將放晴的陽光！

The ethnic Chinese culture places great emphasis on family values pertaining to family interactions (Garcia, Mendez, Ellis, & Gautney, 2014). The family caregivers of patients with mental illness play an essential role in the process of their recovery. Wu and Ching (2020) conducted qualitative interviews to explore how patients with chronic schizophrenia interacted with their family during recovery and observed close interactive relationships of psychiatric patients with their family members in Taiwan. The study also revealed that such family interactions as well as the family's perception of mental illness and treatments can positively or negatively affect patients' adherence with treatment, self-perception, and recovery. This finding corresponds with the cultural context in Taiwan, indicating that to promote the recovery of patients with mental illness, family's perspective on the illness and treatment as well as their support for the patients should be highlighted. Huang and Huang (2020) surveyed the life quality of patients with chronic mental illness hospitalized in eastern Taiwan. They determined that occupational rehabilitation was the primary factor affecting these patients' quality of life. They also observed that patients who had a paid job had highest quality of life. Accordingly, the same study recommended that the government, hospitals, and clinics pay attention to the need of patients with chronic psychiatric conditions for rehabilitation; provide appropriate rehabilitation services; matchmake these patients with job opportunities; and help them return to the community. Three studies on the respective nursing experience of helping a patient with gamma-Hydroxybutyric acid addiction to overcome delirium, helping a female patient who were melancholic due to long-term domestic violence to recover from trauma, and using the interpersonal and social rhythms therapy to treat a patient with bipolar disorder (Hong & Huang, 2020; Hung & Huang, 2020; Tu, Kuo, Chien, Chien, Chou, Hung, 2020) signalize the unique functions of psychiatric health nursing. Since the beginning of fall, typhoons have developed continually, yet none of them have struck Taiwan! Early in the morning today when we were hosting an event titled Recovered Educators, in which several "teachers who have recovered" were invited to share their experience with college students, we were hit unexpectedly by Typhoon Atsani. According to the weather report, the typhoon would pass soon, but the land was likely to be affected by it. We tensed up when we heard the news and prepared ourselves well for the typhoon. Fortunately, the rain became small and eventually stopped when we had outdoor activities. We'd enjoyed the light of cloudy day together, learning to look up to the upcoming sunshine in the sky whenever we encounter an inevitable cloudy day in life.