Introduction: The burden of caring for patients with mental disorders falls more on their family members who provide all necessary support. The burden of care is directly related to the needs of the patients. Most of the caregivers of the mentally ill patients experience the extreme burden of care. Therefore, this study aimed to determine the caregiver burden of family caregivers of patients with mental disorders hospitalized in Shaheed Rajai Hospital in Yasuj in 2016. Methods: In this analytical cross-sectional study, 246 family members of patients with mental disorders hospitalized in Shaheed Rajai Hospital in Yasuj, Iran, were selected using the convenience sampling method. After obtaining consent from the authorities and based on the inclusion criteria, data were collected using a demographic questionnaire and the caregiver burden inventory (Novak & Guest, 1989). Data collection was conducted for 6 months. The data were analyzed using descriptive statistics (demographic characteristics of samples, mean, standard deviation, percentage and frequency of the variables) and inferential statistics (independent t-test) by SPSS software version 21. Results: The mean age of the family caregivers of mentally ill patients was 34.53 ± 13.74 years. The highest frequency and percentage of home caregivers was reported for the children of mentally ill patients (114, 46.3%). The highest burden of care was seen on the moderate burden level, with the frequency and percentage of 34 (51.5%) and on the intense level with the frequency and percentage of 32 (48.5%), which showed no significant difference (P = 0.74). Among the components of caregiver burden, time-dependent burden with a mean (SD) of 15.01(1.66) had a maximum load. Conclusions: Considering that the burden of care can affect the quality of care of the mental patients, and can aggravate their mental conditions, necessary trainings are required to reduce the caregiver burden on the family caregivers of the mentally ill patients.
Objective: Psychological education for families in the form of a model is one of the effective approaches in managing problems caused by mental health problems. The present study aimed to determine the effect of using the participatory care model on the caregiver burden and resilience of home caregivers of patients with mental disorders.
Method: In this clinical trial, 66 households with psychiatric patients hospitalized at Shahid Rajaee Psychiatric Hospital in Yasuj during 2014-2015 were selected and assigned into 2 groups of experimental and intervention based on convenience and simple random sampling. The data of this study were gathered by Novak & Guest (1989) Caregiver burden and Sixbey (2005) Resilience Questionnaire before and after intervention. Participatory care model was performed for 12 ninety-minute sessions in the intervention group. No intervention was provided to the control group during the study period. SPSS software (version 21) was used to run the descriptive and inferential statistics.
Results: Chi-squared test showed that the caregiver burden was significantly lower in the experimental group than in the control group after the intervention (P = 0.0001). Following the intervention, increased resilience and all its components were observed in the experimental group compared to the control group. According to the independent t test and Mann-Whitney U, the 2 groups were considerably different (P < 0.05).
Conclusion: The application of the participatory care model efficiently increased resilience and decreased the intensity of the caregiver burden on the home caregivers of patients suffering from mental disorders.
Background: Collaborative care can be used as a component of selfcare in reducing the complications of care in family caregivers of mental patients. Therefore, the present study aims to "determine the impact of the use of collaborative care model on the care burden parameters of the family of patients with mental disorders".
Methods:In this clinical trial, 66 households from family caregivers of mental patients participated who were eligible for inclusion in a study in the Shahid Rajaee Hospital of Yasuj in 2014. The samples were available and were divided into two groups of intervention (33 families) and control (33 families) based on simple random sampling. The instruments were demographic information sheet, primary needs assessment checklist, Novak's caregiver burden inventory (CBI). Collaborative care model was implemented based on the motivation, preparation, involvement and evaluation phases in the intervention group for 11 sessions. No intervention was performed for control group during this period. Data analysis was performed based on descriptive and inferential statistics (Chi-square, independent t-test, and Mann-Whitney) using SPSS V.21 with a significant level (p< 0.05).
Results:The results showed that there was no significant difference in the scores of care burden between the two groups before intervention (P> 0.05); however, after implementation of the model, there was a significant difference between the mean care burden and all the components of the intervention group and the control group. (P< 0.05).
Conclusion:Implementation of collaborative care model is effective in decreasing the care burden of the family of patients with mental disorders. Therefore, it is recommended using of this model in health care.
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