Archive \ Volume.11 2020 Issue 1

Comparison of the Effect of Nurses' Education on Stress, Anxiety and Depression of Family Caregivers of Patients Hospitalized with Schizophrenia Disorder

, ,
  1. Department of Nursing, Zahedan University of Medical Sciences, Zahedan, Iran.
  2. Department of Psychiatric Nursing, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
  3. Department of Nursing, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

Abstract

Background of the Study: The present study aimed to determine the effectiveness of family education on depression, anxiety, and stress of family caregivers of the patients with schizophrenic disorders hospitalized in Zahedan Psychiatric Hospital. Methods: The present study was a randomized clinical trial; it evaluated the effect of a four-week psychological training program on 100 family caregivers of the patients with schizophrenic disorders hospitalized in Zahedan Psychiatric Hospital. Depression, anxiety, and stress of caregivers were determined using DASS, version 21, questionnaire. Results: Based on the analysis, the effect of education was only observed in the nurses' group, and the level of anxiety, stress, and depression decreased significantly. Having compared between the nurse and control group, the anxiety level in this group decreased significantly after the training program, and the two factors of stress and depression decreased considerably and tended to be significant. Results: In summary, the present study has shown that nursing education had a significant impact on anxiety, stress and depression factors in the patients' families; this can be employed as a new approach to improve schizophrenia patients and their families.



How to cite:
Vancouver
Raeisi M, Navidian A, Rezaee N. Comparison of the Effect of Nurses' Education on Stress, Anxiety and Depression of Family Caregivers of Patients Hospitalized with Schizophrenia Disorder. Arch Pharm Pract. 2020;11(1):82-7.
APA
Raeisi, M., Navidian, A., & Rezaee, N. (2020). Comparison of the Effect of Nurses' Education on Stress, Anxiety and Depression of Family Caregivers of Patients Hospitalized with Schizophrenia Disorder. Archives of Pharmacy Practice, 11(1), 82-87.

Download Citation
References
  1. Leucht, Stefan, Tonja Burkard, John Henderson, Mario Maj, and Norman Sartorius. "Physical illness and schizophrenia: a review of the literature." Acta Psychiatrica Scandinavica 116, no. 5 (2007): 317-333.
  2. Leung, Y., M. Gellman and J. Turner (2013). "Encyclopedia of behavioral medicine." Encyclopedia of Behavioral Medicine: 1450-1451.
  3. Zauszniewski, Jaclene A., Abir K. Bekhet, and M. Jane Suresky. "Indicators of resilience in family members of adults with serious mental illness." Psychiatric Clinics 38, no. 1 (2015): 131-146.
  4. Walt, Gill. "WHO's world health report 2003." (2004): 6.
  5. Bhugra, Dinesh. "The global prevalence of schizophrenia." PLoS medicine 2, no. 5 (2005).
  6. McReynolds, Connie J., Dennis M. Ward, and Oudi Singer. "Stigma, discrimination, and invisibility: Factors affecting successful integration of individuals diagnosed with schizophrenia." Journal of Applied Rehabilitation Counseling 33, no. 4 (2002): 32-39.
  7. Sadeghirad, Behnam, Ali-Akbar Haghdoost, Masoumeh Amin-Esmaeili, Esmaeil Shahsavand Ananloo, Padideh Ghaeli, Afarin Rahimi-Movaghar, Elham Talebian, Ali Pourkhandani, Ahmad Ali Noorbala, and Esmat Barooti. "Epidemiology of major depressive disorder in Iran: a systematic review and meta-analysis." International journal of preventive medicine 1, no. 2 (2010): 81.
  8. Yazici, Esra, Ümit Karabulut, Mustafa Yildiz, Sinem BASKAN TEKEŞ, Eda Inan, Uğur ÇAKIR, Şükriye BOŞGELMEZ, and Celaleddin Turgut. "Burden on caregivers of patients with schizophrenia and related factors." Nöro Psikiyatri Arşivi 53, no. 2 (2016): 96.
  9. Pickett-Schenk, Susan A., Judith A. Cook, Pamela Steigman, Richard Lippincott, Cynthia Bennett, and Dennis D. Grey. "Psychological well-being and relationship outcomes in a randomized study of family-led education." Archives of General Psychiatry 63, no. 9 (2006): 1043-1050.
  10. Grandón, Pamela, Cristina Jenaro, and Serafín Lemos. "Primary caregivers of schizophrenia outpatients: Burden and predictor variables." Psychiatry research 158, no. 3 (2008): 335-343.
  11. Gutiérrez-Maldonado, José, Alejandra Caqueo-Urízar, and David J. Kavanagh. "Burden of care and general health in families of patients with schizophrenia." Social psychiatry and psychiatric epidemiology 40, no. 11 (2005): 899-904.
  12. Boye, B., H. Bentsen, I. Ulstein, T. H. Notland, A. Lersbryggen, O. Lingjaerde, and U. F. Malt. "Relatives' distress and patients' symptoms and behaviours: a prospective study of patients with schizophrenia and their relatives." Acta Psychiatrica Scandinavica 104, no. 1 (2001): 42-50.
  13. Magliano, Lorenza, C. Marasco, Andrea Fiorillo, C. Malangone, M. Guarneri, Mario Maj, and Working Group of the Italian National Study on Families of Persons with Schizophrenia. "The impact of professional and social network support on the burden of families of patients with schizophrenia in Italy." Acta Psychiatrica Scandinavica 106, no. 4 (2002): 291-298.
  14. Barry, Patricia D. Mental health & mental illness. Lippincott Williams & Wilkins, 2002.
  15. Cuellar, Norma, and Janie B. Butts. "Caregiver distress: What nurses in rural settings can do to help." In Nursing Forum, vol. 34, no. 3, pp. 24-30. Oxford, UK: Blackwell Publishing Ltd, 1999.
  16. Bijker, L., A. Kleiboer, H. Riper, P. Cuijpers and T. Donker (2016). "E-care 4 caregivers–an online intervention for nonprofessional caregivers of patients with depression: study protocol for a pilot randomized controlled trial." Trials 17(1): 193.
  17. Chan, Sally Wai-chi. "Global perspective of burden of family caregivers for persons with schizophrenia." Archives of psychiatric nursing 25, no. 5 (2011): 339-349.
  18. Smith, Melissa Edmondson, Michael A. Lindsey, Crystal D. Williams, Deborah R. Medoff, Alicia Lucksted, Li Juan Fang, Jason Schiffman, Roberto Lewis-Fernández, and Lisa B. Dixon. "Race-related differences in the experiences of family members of persons with mental illness participating in the NAMI Family to Family Education Program." American journal of community psychology 54, no. 3-4 (2014): 316-327.
  19. Jewell, Thomas C., Donna Downing, and William R. McFarlane. "Partnering with families: Multiple family group psychoeducation for schizophrenia." Journal of clinical psychology 65, no. 8 (2009): 868-878.
  20. Brent, Benjamin K., and Anthony J. Giuliano. "Psychotic-spectrum illness and family-based treatments: a case-based illustration of the underuse of family interventions." Harvard Review of Psychiatry 15, no. 4 (2007): 161-168.
  21. Lefley, Harriet P. Family psychoeducation for serious mental illness. Oxford University Press, 2009.
  22. Solomon, Phyllis, and Maureen O. Marcenko. "Families of adults with severe mental illness: Their satisfaction with inpatient and outpatient treatment." Psychosocial Rehabilitation Journal 16, no. 1 (1992): 121.
  23. Cornwall, P. L., and J. Scott. "Burden of care, psychological distress and satisfaction with services in the relatives of acutely mentally disordered adults." Social psychiatry and psychiatric epidemiology 31, no. 6 (1996): 345-348.
  24. Ostman, Margareta, Lars Hansson, and Kristina Andersson. "Family burden, participation in care and mental health-an 11-year comparison of the situation of relatives to compulsorily and voluntarily admitted patients." International Journal of Social Psychiatry 46, no. 3 (2000): 191-200.
  25. Navidian, Ali, and Farshad Bahari Zaheden. "Burden experienced by family caregivers of patients with mental disorders." Pakistan Journal of Psychological Research 23, no. 1 (2008).
  26. Dixon, Lisa B., Alicia Lucksted, Deborah R. Medoff, Joyce Burland, Bette Stewart, Anthony F. Lehman, Li Juan Fang, Vera Sturm, Clayton Brown, and Aaron Murray-Swank. "Outcomes of a randomized study of a peer-taught family-to-family education program for mental illness." Psychiatric Services 62, no. 6 (2011): 591-597.
  27. De Boer, A., M. Broese van Groenou, and J. Timmermans. "Informal care: an overview of the support given by and to informal carers in 2007." The Hague, the Netherlands: SCP (2009).
  28. Perlick, Deborah A., Robert R. Rosenheck, JOHN F. CLARKIN, Patrick Raue, and JoAnne Sirey. "Impact of family burden and patient symptom status on clinical outcome in bipolar affective disorder." The Journal of nervous and mental disease 189, no. 1 (2001): 31-37.
  29. Fristad, Mary A., Stephen M. Gavazzi, and Barbara Mackinaw-Koons. "Family psychoeducation: an adjunctive intervention for children with bipolar disorder." Biological Psychiatry 53, no. 11 (2003): 1000-1008.
  30. Wearden, Alison J., Nicholas Tarrier, Christine Barrowclough, Thomas R. Zastowny, and Alice Armstrong Rahill. "A review of expressed emotion research in health care." Clinical psychology review 20, no. 5 (2000): 633-666.
  31. Brodaty, Henry, Alisa Green, and Annette Koschera. "Meta‐analysis of psychosocial interventions for caregivers of people with dementia." Journal of the American Geriatrics Society 51, no. 5 (2003): 657-664.
  32. Magliano, Lorenza, Andrea Fiorillo, Corrado De Rosa, Claudio Malangone, Mario Maj, and National Mental Health Project Working Group. "Family burden in long-term diseases: a comparative study in schizophrenia vs. physical disorders." Social science & medicine 61, no. 2 (2005): 313-322.
  33. Fallahi Khoshknab, M., M. Sheikhona, A. Rahgouy, M. Rahgozar, and F. Sodagari. "The effects of group psychoeducational programme on family burden in caregivers of I ranian patients with schizophrenia." Journal of psychiatric and mental health nursing 21, no. 5 (2014): 438-446.
  34. Castilla García, Aurelio, Marcelino López Álvarez, Velia Chavarría Pérez, M. Sanjuán, Pedro Canut Altemir, M. Martínez, J. M. Martínez, and José Luis Cáceres Pereira. "La carga familiar en una muestra de pacientes esquizofrénicos en tratamiento ambulatorio." Revista de la Asociación Española de Neuropsiquiatría. 18, no. 68 (1998): 621-642.
  35. Asgharimoghadam MA ,Saed F,Dibajnia P,Zanganeh J. A preliminary study of validity and reliability As•hay resident of depression, anxiety and Stress (DASS) in non-clinical samples. Scientific-Research Journal of Shahed University Fifteenth Year No. 31:2008 23-38
  36. Maleki A, Asghari MJ, Salari R. Credit terms of scale,depression, anxiety Vastrs DASS-21 in the Iranian population.J Iran Psychol. 2005;1(4):9-12.
  37. Lam, D. H., L. Kuipers, and J. P. Leff. "Family work with patients suffering from schizophrenia: the impact of training on psychiatric nurses’ attitude and knowledge." Journal of Advanced Nursing 18, no. 2 (1993): 233-2
  38. Bradshaw, Timothy, Anthony Butterworth, and Hilary Mairs. "Does structured clinical supervision during psychosocial intervention education enhance outcome for mental health nurses and the service users they work with?." Journal of psychiatric and mental health nursing 14, no. 1 (2007): 4-12.
  39. Leff, Mandy Sharpley, Daniel Chisholm, Ray Bell, Catherine Gamble, Julian. "Training community psychiatric nurses in schizophrenia family work: a study of clinical and economic outcomes for patients and relatives." Journal of Mental Health 10, no. 2 (2001): 189-197.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.