Akbari Mohammad, Alavi Mousa, Irajpour Alireza, Maghsoudi Jahangir
Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2018 Sep-Oct;23(5):329-337. doi: 10.4103/ijnmr.IJNMR_122_17.
Family caregivers of patients with mental disorders play the most important role in the care of psychiatric patients (PPs) and preventing their readmission. These caregivers face different challenges in different cultures. We conducted this study to determine the challenges of caregivers of patients with mental disorders in Iran.
This study is a narrative review with a matrix approach conducted by searching electronic databases, SID, IRANMEDEX, MAGIRAN, PUBMED, SCOPUS, Web of Sciences, from February 2000 to 2017. Searched keywords include challenges, family caregivers of psychiatric patient, family caregivers and psychiatric patient, mental illness, families of psychiatric patient, and Iran. One thousand two hundred articles were found in English and Farsi, and considering inclusion and exclusion criteria, 39 articles were examined.
The results of the studies show that not meeting the needs of caregivers, burnout and high burden of care, high social stigma, low social support for caregivers, and low quality of life of caregivers were among the most important challenges faced by caregivers.
Despite the efforts of authorities in Iran, family caregivers of patients with mental disorders still face challenges. Therefore, the need for all-inclusive support for family caregivers of patients with mental health problems is necessary.
精神障碍患者的家庭照顾者在精神病患者的护理及预防其再次入院方面发挥着最重要的作用。这些照顾者在不同文化中面临着不同的挑战。我们开展本研究以确定伊朗精神障碍患者照顾者所面临的挑战。
本研究是一项采用矩阵法的叙述性综述，通过检索2000年2月至2017年的电子数据库，包括伊朗科学数据库（SID）、伊朗医学数据库（IRANMEDEX）、伊朗医学文摘数据库（MAGIRAN）、美国国立医学图书馆生物医学期刊数据库（PUBMED）、Scopus数据库、科学网进行。检索关键词包括挑战、精神病患者的家庭照顾者、家庭照顾者与精神病患者、精神疾病、精神病患者的家庭以及伊朗。共找到1200篇英文和波斯文文章，根据纳入和排除标准，对39篇文章进行了审查。
研究结果表明，照顾者需求未得到满足、倦怠和护理负担过重、社会污名严重、照顾者获得的社会支持低以及照顾者生活质量低是照顾者面临的最重要挑战。
尽管伊朗当局做出了努力，但精神障碍患者的家庭照顾者仍然面临挑战。因此，有必要为有心理健康问题患者的家庭照顾者提供全面支持。
