支持團體對精神疾病病患主要照顧者因應行為與主觀情緒問題之影響研究

精神醫療的進步及台灣精神醫療體系中社區服務體系的缺失，已使大多數的精神病患可以且必需要回歸社區。然而，慢性精神疾病對患者的影響是長期且深遠的。病患不僅喪失了原有的功能和角色，並且成為家庭的依賴者，對其他家人更造成生活的干擾、情緒的壓力和負荷。本研究兼採質性與量化的研究法，以深入訪談方式，試圖了解並檢驗支持團體是否能減輕主要照顧者的負荷及負面情緒。在量化研究方法上使用單案研究之AB設計檢視團體成員在參加團支持團體前後在社會支持、因應狀況、負荷程度及憂鬱程度的改變。研究結果顯示：在量化分析結果上，參加支持團體次數愈高，則憂鬱及負荷程度就愈低；反之，參加次數愈少則憂鬱及負荷程度均上昇。在質化訪談上，支持團體幫助內涵中則包含了情感、認知兩大面向，其助益是來自於成員本身、團體活動、工作人員及團體整體的經驗等四大因素。

The progress of mental health system and deficit of community psychiatric service in Taiwan, made most of the mental disorder patients must go back to their home. But, chronic psychiatric disease induces impact in many fields; victims of these illnesses might lose their function and role, and finally become family's burden. Family disruption, stigma, caregiver's strain and client degeneracy might increase progressly. Depression is the common subjective emotional al problems among caregivers. This research utilized both qualitative and quantitative methods to explore the effectiveness of supportive group in reducing major caregiver's burden and negative mood, and the factors related to the effect. The results showed that as the number of group participation increased in general caregivers' level of depression and burden decreased. caregivers' benefits came from group other members, group actives, group workers and experience group. The implications and limitativs of the results were discussed