[[alternative]]To Explore the Interpersonal Interaction Experiences of Person with Chronic Schizophrenia

[[abstract]]慢性思覺失調症患者常有人際互動的困難及需求，但國內相當欠缺這方面的質性研究，故本研究採用描述性現象學質性研究法，探討慢性思覺失調症患者人際互動經驗。於北部某綜合醫院精神科日間病房進行立意取樣，收案條件含年滿20歲、具有口語表達能力、思覺失調症診斷2年以上，願意接受訪談且簽妥同意書者；排除條件為妄想與認知障礙會影響研究資料確實性之疑慮者。 資料收集採非結構一對一深入訪談及參與式觀察法，以Colaizzi’s（1978）進行資料分析。共訪談14位個案，已達資料飽和。研究結果包含3個主題及6個次主題，分別為人際互動有感受的融滲（與人互動的愉快感受、與人互動的不愉快感受）；人際互動呈現動態過程（加成現象、抑制現象）；人際互動具選擇性氛圍（互動對象的侷限性、個人的主動投注性）。研究結果顯示慢性思覺失調症患者對於人際互動有愉快或不愉快的感受性，並存在增進及抑制人際互動的現象、且在人際互動對象的選擇上具備個人主觀的選擇性氛圍。透過本研究可以增加專業人員對於慢性思覺失調症患者人際互動主觀經驗的了解，以提供更符合個案需求的人際互動介入措施，幫助他們獲得更好的人際關係及生活品質。[[abstract]]Patients with chronic schizophrenia tend to encounter difficulties and needs in interpersonal interactions. However, there is lack of qualitative studies in this regard in Taiwan. Therefore, this study used descriptive phenomenological qualitative research method to explore the experiences of interpersonal interaction of person with chronic schizophrenia. This study used purposive sampling to enroll subjects at a day ward of Division of Psychiatry in a certain general hospital in the northern Taiwan. The sample criteria included patients aged 20 and older who are able to engage in verbal expression, diagnosed with schizophrenia for more than 2 years, and willing to receive interviews and sign the informed consent form. The exclusion criteria were patients with delusion and cognitive disorder that may affect the accuracy of research data. This study used one-on-one in-depth interviews and participant observation to collect data, and used Colaizzi’s (1978) to analyze data. This study interviewed a total of 14 patients, and the data reached saturation. The research results included 3 themes and 6 sub-themes: perceived integration in interpersonal interactions (pleasant feeling about interactions with people and unpleasant feeling about interactions with people); dynamic process of interpersonal interactions (synergistic phenomenon and suppressive phenomenon); selective ambience in interpersonal interactions (restrictiveness of objects of interaction and active devotion of individuals). The research results showed that, patients with chronic schizophrenia experience pleasant or unpleasant feelings about interpersonal interactions. In addition, synergistic and suppressive phenomena coexist. Moreover, there is subjective selective ambience of individuals in the selection of objects of interpersonal interactions. This study can help increase the professionals’ understanding of experiences of interpersonal interactions of patients with schizophrenia to provide intervention measures that better meet the patients’ need for interpersonal interactions and help them obtain better interpersonal relationship and quality of life