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이길자 ( ) - 부산대학교 의과대학 간호학과
김철권 ( ) - 양산신경정신병원
서지민 ( ) - 양산신경정신병원
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Abstract
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The purpose of this study is to assess the various needs of primary caregivers and siblings of schizophrenic patients, and to. compare differences in the perception of needs between two groups. Family needs was assessed by questionnaire which included 4 need domains of 61 items such as knowledge and information of schizophrenia, coping with problematic behaviors, intrafamilial relationship, and social support and resources. A questionnaire was conducted with 92 primary caregivers and 68 siblings. The results were as follows.
1) Both primary caregivers and siblings of schizophrenics reported strong concern and need in learning more about the cause and prevention of relapse, the degree of recovery under the treatment, the period of taking medication, and the etiology of illness.
2) Excessive depression and pessimism arereported to be a source of the most disturbing to the primary caregivers followed by such problems as unusual speech and behavior, sleeping behavior, anxiety and agitation, and physical anergia. In the siblings of schizophrenics, the refusal to the hospital admission is the most disturbing behavior followed by unusual speech and behavior, physical anergia, sleeping behavior, and suicidal idea and attempt.
3) In the domain of intrafamilial relationship, both groups showed great interests about the ways to improve communication with ill relatives and the right attitude toward patients.
4) In the domain of social support and resources, both groups reported the strongest need about the ways to improve independent living skills, and followed by coping with stigma of mental illness, financial assistance by government. and vocational rehabilitation.
5) Discriminant analyses revealed that the domain of social support and resources of primary caregivers was significant interaction with marriage status of patient, and the participation of family organization of principal family members.
6) No significant difference was noted in all items of questionnaire between primary caregivers and siblings of schizophrenics, which indicate both groups have the similar needs.
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KeyWords
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가족욕구, 가족중재, 정신분열병, Family needs, Family intervention, Schizophrenia
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원문 및 링크아웃 정보
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등재저널 정보
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