关键词: 首发精神障碍； 家庭照顾者, 照护经历 , 质性研究, 系统评价, Meta整合

Abstract: Objective：To systematically review the experience of family caregivers of patients with first episode mental disorders and provides evidence-based guidance for early rehabilitation of patients and psychological interventions for caregivers. Methods：The Cochrane Library, Ovid, PubMed, Embase, Web of Science, CBM, CNKI, VIP, and WANFANG DATE were searched from inception to July 31, 2021. The JBI Critical Appraisal Tool for qualitative studies was used to evaluate the quality of studies meeting the inclusion criteria. The Integrating Method was applied to integrate the results. Results: A total of 60 findings were extracted from 12 qualitative studies, and then 3 synthesized results were summarized from 8 categories. The integration results were multifactorial nursing challenges, character endings with growth or absence and urgent social support, respectively. Conclusion: It is urgent to improve the mental health quality of the whole people and destigmatize the culture of mental disorders, and create a barrier-free medical treatment environment for patients. It is also important to pay attention to the early mental health intervention of family caregivers, meet their needs for social support, and improve the ability of stress response in family caregivers of patients with first episode mental disorders.

Key words: First episode mental disorder, Family caregivers, Caring experience, Qualitative research, Systematic review, Meta integration