Efficacy of Family Intervention in Acquired Head-Injury Cases in
                        India

Reddy, N Krishna; Vranda, Mysore Narasimha

doi:10.5463/dcid.v23i3.120

Cited by 4 publications

(5 citation statements)

References 21 publications

(23 reference statements)

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“…The FIP was found to be significantly effective in improving the levels of functioning of persons with head injury in the areas of leadership, communication, role, reinforcement, cohesiveness, and social support systems among the families of the EG patients as compared with the CG patients, over the 6-month follow-up period. 14 In this study also, training the caregivers was found to be effective in enhancing the recovery of the patients in terms mentioned earlier.…”

Section: Discussionsupporting

confidence: 67%

Efficacy of Caregivers’ Intervention on Recovery of Head Injury Cases in India

Verma

Tewari

Kaur

et al. 2018

IJNS

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Background Patients with head injury are discharged from hospitals in a dependent state. In the home care settings, the caregivers have to take care of the patients. In India, there is scarcity of data on interventions of family caregivers of persons with head injuries. Objective To assess the efficacy of an instructional module for caregivers of patients with head injury on recovery of the patients. Method The study was performed at the Neuro-Surgery Department of Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Total 82 patients with 41 each in experimental and control groups and their caregivers were included in the study. The caregivers of patients in experimental group were demonstrated procedures related to care of a dependent patient. An instructional module containing guidelines regarding personal hygiene, catheter care at home, prevention of bedsores, tracheostomy suctioning at home, range-of-motion exercises, care of surgical wound, and discharge instructions regarding medication and follow-up was given to the caregivers in experimental group. The efficacy of intervention was assessed on occurrence of fever, chest infection, eye infection, bedsores, wound infection, constipation, urinary tract infection, deep vein thrombosis, length of stay, and readmission in hospital in both the groups. Results Occurrence of fever, constipation, and length of stay were reduced significantly in experimental group. A reduction in the rates of chest infection, bedsore development, wound infection, and urinary tract infection were also noted in experimental group. Conclusion The study shows that training the caregivers of head injury patients enhances the recovery and prevents complications in the patients.

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Section: Discussionsupporting

confidence: 67%

Efficacy of Caregivers’ Intervention on Recovery of Head Injury Cases in India

Verma

Tewari

Kaur

et al. 2018

IJNS

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“…Social work interventions that were offered for TBI families and caregivers helped to reduce the caregiver burden and increased satisfaction. 11,15,19,20 However, the psychosocial interventions should be tested in the stringent experimental environment to replicate in other settings preferably randomized control trials. Further research is warranted in this area.…”

Section: Discussionmentioning

confidence: 99%

“…The method of interventions used in this study was group psychoeducation and brief individual therapeutic interventions designed based on the needs of caregivers, review of the literature, and clinical experience in trauma care center published elsewhere. 11,14,19,20 Systematic group psychoeducation focused on TBI illness, preadmission, predischarge counseling welfare benefits referral services, and linking within hospital and community resources. Individual therapeutic interventions focused on handling the TBI crisis, brief supportive, and grief therapy.…”

Section: Methodsmentioning

confidence: 99%

Tailor-Made Psychosocial Intervention for the Caregivers in Emergency and Trauma Care Center

Kanmani

Raju²,

Konar

et al. 2021

JNRP

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Introduction The caregiver’s psychosocial problems are unnoticed in the emergency and trauma care center. Therefore, the study objective was to understand the impact of psychoeducation and psychosocial intervention on traumatic brain injury (TBI) caregivers during hospitalization. Methodology The study adopted a descriptive research design. Sixty-three (n = 63) consented caregivers were recruited by using a cross-sectional survey method. Two separate checklists were used to collect the psychosocial problems in emergency and trauma care as well as to know the satisfaction levels of caregivers after the intervention. R free 3.0.1 software was used to calculate the frequency and percentage. Results The caregiver’s mean age was 39 years (39.46 ± 16.22). The majority of the caregivers were males (45; 71.4%) working as daily wagers (42; 66.7%). Caregivers experienced psychosocial problems, that is, depression, anxiety, stress, unable to handle crisis, grief, lack of coping skills (57; 90.5%), emotional distress (57; 90.5%), financial constraints (45; 71.1%), and need for referral services (45; 71.1%). Tailor-made psychosocial interventions were provided to the caregivers. Conclusion To conclude, there is a greater need to provide psychosocial intervention and train the caregivers to provide care for TBI survivors during hospitalization. There is a need to develop the uniform standard operating procedure for medical and psychiatric social workers in providing psychosocial care in emergency and trauma care setting.

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“…And it was found that information shared among support group members was effective in reducing the risk of health and behavioral problems, stress, or coping problems among caregivers. 19 Madhanraj et al ( 2019) mentioned in their study that training the caregivers of neurosurgery patients with the help of self-instruction module and demonstrations of the skills had a significant effect on the knowledge and caregiving skills on them. This not only leads to improved quality of care of their patients but the caregivers are also empowered for performing their roles more effectively.…”

Section: Discussionmentioning

confidence: 99%

“…This scale consists of a set of ten questions which are divided into three categories including caregiving, family, and financial issues, using a 5-point rating scale, where 1 = no stress and 5 = extreme stress, indicating the extent of stress among caregivers on these issues. The total score is 50 which was then calculated and classified as mild (< 16), moderate (16)(17)(18)(19)(20)(21)(22)(23)(24), and severe (> 24) stress. The higher the score, the higher is the stress.…”

Section: Methodsmentioning

confidence: 99%

Effect of Support Group Approach on Behavior, Stress, and Coping Factors Among the Family Caregivers of Head Injury Survivors

Kaur,

Monaliza,

Kaur

et al. 2021

Nursing & Midwifery Research Journal

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Background: Head injuries may lead to permanent disabilities or death. Long-term complications and health problems of the patients may impact the physical and mental health of the family caregivers. Support group approach helps the caregivers to deal with the circumstances that may arise during the care of their survivors. Objective: This study aimed to assess the effectiveness of support group approach on risk of development of health and behavior problems, level of stress, and coping level among the caregivers of the head injury survivors. Materials and Methods: A quasiexperimental study was conducted in Neurosurgery Units, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh. A total of 60 caregivers (30 each in control and experimental groups) were enrolled by total enumeration technique. Data were collected using an interviewing schedule consisting (a) sociodemographic profile of the caregivers, (b) caregiver self-assessment questionnaire, (c) the Kingston caregiver stress scale, and (d) coping scale. The caregivers in the control group received routine care. In the experimental group, they were involved in group discussions during support group meetings. Various methods of dealing with stress, risk for development of health and/or behavior problems, coping strategies were discussed in the support group meetings where the teachings and demonstrations were given to the caregivers. In support group meetings, the caregivers discussed their problems and expressed their ideas and coping strategies to solve their problems. An information booklet on the same was also given to them. The follow-up was carried out at 15 days and 1.5 months of the enrollment of the patients. Results: The risk of development of health and behavior problems decreased in both the experimental and control groups. Median values of caregiver’s stress score was significantly less in the experimental group ( P < .01) as compared to the control group. All the caregivers in the experimental group and only 10.0% in the control group had above average coping to deal with the problems in their day-to-day activities. Conclusion: “Support group approach” for the caregivers of head injury caregivers was found to be effective in terms of decreasing the risk of development of health and behavior problems, improving coping, and reducing stress among the caregivers. Therefore, support group approach can be encouraged in order to enhance the knowledge and confidence of the caregivers to deal with the problems of the patients.

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Efficacy of Family Intervention in Acquired Head-Injury Cases in India

Cited by 4 publications

References 21 publications

Efficacy of Caregivers’ Intervention on Recovery of Head Injury Cases in India

Efficacy of Caregivers’ Intervention on Recovery of Head Injury Cases in India

Tailor-Made Psychosocial Intervention for the Caregivers in Emergency and Trauma Care Center

Effect of Support Group Approach on Behavior, Stress, and Coping Factors Among the Family Caregivers of Head Injury Survivors

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