Tactful Monitoring: How Thai Caregivers Manage Their Relative with Schizophrenia at Home

Dangdomyouth, Pennapa; Stern, Phyllis Noerager; Oumtanee, Areewan; Yunibhand, Jintana

doi:10.1080/01612840701748714

Cited by 19 publications

(21 citation statements)

References 22 publications

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“…Mokgothu et al (2015) also found that families use calming techniques, creative communication and praise as strengths. These findings are confirmed by Swink (2010) and Dangdomyouth, Stern, Oumtanee and Yunibhand (2008) who report that families use calm attitudes and respect as strengths in their communication with mentally ill family members.…”

Section: Maintaining a Calm Attitude Towards The Mentally Ill Family supporting

confidence: 78%

Strengths of families to limit relapse in mentally ill family members

Tlhowe

Plessis

Koen

2017

Health SA Gesondheid

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Background: Relapse prevention in mental health care is important. Utilising the strengths of families can be a valuable approach in relapse prevention. Studies on family strengths have been conducted but little has been done on the strengths of family members to help limit relapse in mental health care users. The purpose of this research was to explore and describe the strengths of family members in assisting mental health care users to limit relapses.Methods: A phenomenological design was followed. Purposive sampling was used and 15 family members of mental health care users who have not relapsed in the previous two years participated. Individual unstructured interviews were conducted. Data were analyse dusing thematic analysis.Results: Four main themes were identified, namely accepting the condition of the mental health care users, having faith, involving the mentally ill family members in daily activities and being aware of what aggravates the mentally ill family members.Conclusions: Family members go through a process of acceptance and receive educational information and assistance from health professionals. In this process families discover and apply their strengths to limit relapses of mentally ill family members. It is important that family members caring for mentally ill family members are involved in their treatment from the onset, and that they are guided through a process of acceptance.

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Section: Maintaining a Calm Attitude Towards The Mentally Ill Family supporting

confidence: 78%

Strengths of families to limit relapse in mentally ill family members

Tlhowe

Plessis

Koen

2017

Health SA Gesondheid

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“…Incorporating improved self-care strategies for family caregivers is also needed to address the impact of their own chronic health problems. Two intervention programs that may have potential for Thai family caregivers are based on respite and creating dedicated social spaces for the chronically mentally ill (Dangdomyouth et al, 2008).…”

Section: Implications For Practice and Nursing Educationmentioning

confidence: 99%

“…With the global move towards community-based care, most individuals with schizophrenia are being cared for by their families in the community. In Thailand, approximately 343,680 individuals with schizophrenia are cared for at home by their relatives (Dangdomyouth et al, 2008). Thai family members caring for individuals with schizophrenia are reported to experience significant stress and burden of care (Pipatananond et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Predictors of depressive symptoms and physical health in caregivers of individuals with schizophrenia

Thunyadee

Sitthimongkol

Sangon

et al. 2015

Nursing & Health Sciences

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This cross-sectional study examined relationships among factors influencing caregiver burden, depressive symptoms, and physical health in family caregivers of individuals with schizophrenia. Two hundred family caregivers of individuals with schizophrenia completed standardized questionnaires related to depressive symptoms, physical health, perceptions of burden, coping, and social support. The results revealed that 19.5% of family caregivers of individuals with schizophrenia experienced significant depressive symptoms and 65.5% perceived themselves in poor physical health. Burden, self-controlling coping strategies, and physical health status were all independently predictive of depressive symptoms. Two emotion-focused coping strategies (self-controlling and escape-avoidance) were independently predictive of caregiver burden. Only burden predicted physical health status. The findings suggest that health professionals who provide community care for those with schizophrenia need to consider the "unit of care" as the family rather than the individual. The health status of family caregivers should be routinely assessed. Individualized interventions to reduce family burden could include community-based health professionals as well as trained community volunteers, opportunities for social interaction, and improving self-care for all family members.

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“…Primary caregivers are not sure about, and do not know if there are, any strategies that will be able to help their patients, however, after they are educated by psychiatric nurses about the causes of schizophrenia, they both understand and believe the information. They try to collaborate and coordinate with health professionals in order to provide good care for people with schizophrenia (Dangdomyouth, Stern, Oumtanee, & Yunibhand, 2008;Kertchok et al, 2011;Petcharat, 2004;Lueponglukkana, 1992).…”

Section: Introductionmentioning

confidence: 98%

“…A study conducted in Thailand (Dangdomyouth et al, 2008) found that the process of tactful monitoring has been employed by family caregivers in caring for persons with schizophrenia. The process has shown that the caregivers take their role of caring for their ill family members to be keeping an eye on their behavior, checking and reminding them of their medication intake, asking about symptoms, preventing the intake of strong beverages and helping their patients do daily activities with the guidance of psychiatric nurses.…”

Section: Introductionmentioning

confidence: 99%

Building Collaboration in Caring for People with Schizophrenia

Kertchok

2014

Issues in Mental Health Nursing

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People with schizophrenia, who have disturbances in mood, thought processes and behavior, experience impairment in day-to-day functioning. Primary caregivers have tried to become involved in caring for persons with schizophrenia by coordination with community psychiatric nurses. Community psychiatric nurses have an important role to play in supporting families in this care, especially primary caregivers. The purpose of the present study was to explore the relationship between Thai community psychiatric nurses and primary caregivers of people with schizophrenia. Grounded theory methodology was used to examine the process with which community psychiatric nurses work together with primary caregivers. Purposive sampling and theoretical sampling were used. Data were collected from 34 informants, including 17 community psychiatric nurses and 17 primary caregivers through in-depth interviews, observation, and field notes. Data was analyzed using constant and comparative methods by Glaser (1978). The study revealed that building collaboration in the care of people with schizophrenia involved coordinating both community psychiatric nurses and primary caregivers in a process that consists of five major stages. In the first stage, community psychiatric nurses and primary caregivers used strategies to establish trust in each other before the next stage, which engaged their concerns and needs. Later, the stages of mutual preparation for caregiving, cooperating on patient care and monitoring outcomes were jointly employed in order to promote a healthy family life for patients. The study concludes by suggesting guidelines and giving insights into ways of helping primary caregivers and their patients with schizophrenia.

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Tactful Monitoring: How Thai Caregivers Manage Their Relative with Schizophrenia at Home

Cited by 19 publications

References 22 publications

Strengths of families to limit relapse in mentally ill family members

Strengths of families to limit relapse in mentally ill family members

Predictors of depressive symptoms and physical health in caregivers of individuals with schizophrenia

Building Collaboration in Caring for People with Schizophrenia

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