| 摘要: | 隨著時代的進步與社會環境的急速變遷，一些精神官能症，如焦慮症患者、恐慌症患者有日漸增加的趨勢。本研究旨在了解焦慮症狀已緩解之焦慮疾患患者，其生病過程中的主體經驗與想法感受，以及他們是如何面對與因應。 本研究採用質性研究取向，藉由深度訪談的方式，訪談六位焦慮症自助團體之會員，訪談資料經過編碼、統整、分析後，其研究結果發現： 一、生病經驗共分成三個階段，分別為（一）與疾病遭逢—焦慮的開始；（二）與疾病共舞--治病過程；（三）跳脫受困的心靈—走出疾病幽谷。二、研究結果發現，在第一階段，個案會出現許多生理上或心理上的不舒服，同時也會出現許多負面的情緒感受。當個案進入第二階段後，會經歷認識疾病、接受疾病、與病共存三個過程，其中個案對病因的尋求了解與對疾病症狀的正確認知，及個案的自我覺察與家人、社會網絡的心理支持系統是個案成功與病共存的重要因素。三、最後，個案的價值觀、人生觀、生活態度會因為生病經驗造成改變，除了較重視生活休閒外，也不再汲汲於追求金錢與名利，懂得善待自己，改變與家人相處模式，體會到人生無常、懂得知足與活在當下，並且進入第三階段，萌生自助助人的行為，重新詮釋疾病，認為疾病為自己帶來新的人生觀、不再是折磨而是另一種琢磨，甚至感恩疾病，讓自己有機會從毛毛蟲蛻變成蝴蝶，享受蛻變的喜悅。 本研究結果能提供焦慮疾患患者復原的參考，讓從事精神醫療之專業人員能了解焦慮疾患患者的需求與心聲，學會從病患角度看問題與疾病，以提供更符合病患需要的服務。
With the progress of time and prompt changes of the society, we see the increase of patients of neurotic diseases such as anxiety disorder and panic disorder. The purpose of this study is to understand the principal experiences and feelings of these patients as well as how they face and respond to the diseases. Qualitative study is adopted in this study. The researcher interviewed six members of self-help group of anxiety disorder with in-depth interview. After decoding, arrangement, statistics and analysis, the researcher has the following findings: 1.Experience of the illness is divided into three stages: 1) encounter with the illness—beginning of the anxiety, 2) dancing with the illness—procedures of being treated and 3) breaking away from the besieged mind—walking out of the illness shadows.2.In the first stage, interviewees would have a great amount of physical or mental discomfort and suffered from negative feelings. In the second stage, they would go through three steps—knowing the illness, accepting the illness and surviving with the illness. The major factors to successfully survive with the illness include seeking to understand and having accurate understanding of the illness, self-awareness of patients and mental support system of the family members and the society network. 3.At last, the values, life philosophy, and attitudes towards life of the interviewees are changed due to the illness. In addition to paying more attention to the life and recreation, they no longer focused on seeking money and fame only. Instead, they knew to treat themselves better, changed the way they get along with their families, understood the constant changes in life, became satisfied and knew to live to the moment. In the third stage, they started to help other people as we as themselves and reinterpreted the illness, believing that the illness brought new life philosophy to them, instead of torture. The illness was refining their life and the interviewees even were grateful for the illness, which enabled them to have an opportunity to turn to butterflies from pupas and enjoy the delight of qualitative change. The results of this study can only serve as reference for anxiety disorder patients and help professional personnel engaged in treatment of mental disorder understand the needs and feelings of the anxiety disorder patients as well as look at the problems and disorder from the viewpoint of the patients. Thus, they will be able to provide the patients with more suitable service. |
