Challenges faced when living with schizophrenia in the community: A narrative inquiry.

Autor:	Gong JW; School of Nursing, Wuhan University, China., Luo D; School of Nursing, Wuhan University, China., Liu WJ; School of Nursing, Wuhan University, China.; University of Washington School of Nursing, Seattle, USA., Zhang J; Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China., Chen ZR; School of Nursing, Wuhan University, China., Wang QY; Department of Psychology, The Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi, China., Yang XY; School of Nursing, Wuhan University, China., Yang BX; School of Nursing, Wuhan University, China.; Department of Psychiatry, Renmin Hospital of Wuhan University, China.; Population and Health Research Center, Wuhan University, China., Huang HS; Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China., Wang XQ; School of Nursing, Wuhan University, China.
Jazyk:	angličtina
Zdroj:	The International journal of social psychiatry [Int J Soc Psychiatry] 2023 Mar; Vol. 69 (2), pp. 420-429. Date of Electronic Publication: 2022 Aug 09.
DOI:	10.1177/00207640221109168
Abstrakt:	Background: Schizophrenia is a chronic and severe mental disorder. People with schizophrenia have transferred from hospital-based care to community-based care with the support of mental health legal policies. Challenges faced in the community should be emphasized. Limited qualitative studies have explored the challenges of living with schizophrenia. Aims: To explore the challenges of people living with schizophrenia in the community. Methods: A narrative method was used, including semi-structured, face-to-face interviews. Thematic analysis approach was used to analyze data. Results: Ten clients and their family members participated in the study. Analysis revealed three main themes related to their challenges in the community: deficits in self-management of illness; insufficient community mental health care; and the influence of policy. These challenges prevent those with schizophrenia from effectively managing their illness, returning to a productive role in society, and improving their quality of life. Conclusions: There are challenges in mental health rehabilitation and social reintegration of individuals with schizophrenia. There is a need for continuous community mental rehabilitation services, appropriate policy support, and the need to educate the public to reduce social bias and discrimination which allows individuals with schizophrenia to assume a productive role in the community.
Databáze:	MEDLINE
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