Shamsaei Farshid, Nazari Fatemeh, Sadeghian Efat
1Behavioural Disorders and Substance Abuse Research Centre, Hamadan University of Medical Sciences, Hamadan, Iran.
2Department of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Ann Gen Psychiatry. 2018 Nov 15;17:48. doi: 10.1186/s12991-018-0218-y. eCollection 2018.
Stigma is one of the most destructive features of mental illnesses that may affect the family caregivers. This study aimed to analyze the effect of training interventions of stigma on family caregivers of the mental illness patients.
This quasi-experimental pre- and post-test study was performed on a single group of 43 family caregivers of mental illness patients in Hamadan Psychiatric Hospital, Iran, in 2015. The samples were taken through convenience sampling method and the data collection tool was a stigma questionnaire made by the researchers. The questionnaires were filled by the participants within pre-intervention and 1-month post-intervention. All the data were analyzed by SPSS version 16, and the mean and standard deviation by paired test and Wilcoxon test.
Findings of this study demonstrated that women included 60% of the family caregivers. The average age of caregivers and the duration of caregiving were 41.67 ± 11.62 years and 66.28 ± 7.99 months, respectively. The mean and standard deviation for pre-intervention stigma score were 82.47 ± 12.23 indicating that the family caregivers suffered from some problems arisen from living with mental patients. They include not getting married, unable to find a job, embarrassment, humiliation by others, disgrace, and shame. Our results revealed that the mean and standard deviation of stigma score decreased to 29.28 ± 7.52 after training, and this difference was statistically significant (P < 0.001).
According to the results of present study, training interventions reduce the issues caused by stigma and help the family members of mental patients to face and cope with the problem.
污名是精神疾病最具破坏性的特征之一，可能会影响家庭照顾者。本研究旨在分析针对精神疾病患者家庭照顾者的污名培训干预措施的效果。
2015年，在伊朗哈马丹精神病医院，对一组43名精神疾病患者的家庭照顾者进行了这项准实验性前后测研究。样本通过便利抽样法选取，数据收集工具是研究人员编制的污名问卷。参与者在干预前和干预后1个月填写问卷。所有数据均使用SPSS 16版进行分析，均值和标准差通过配对检验和Wilcoxon检验得出。
本研究结果表明，家庭照顾者中女性占60%。照顾者的平均年龄和照顾时长分别为41.67±11.62岁和66.28±7.99个月。干预前污名得分的均值和标准差为82.47±12.23，表明家庭照顾者因与精神疾病患者共同生活而面临一些问题。这些问题包括未婚、无法找到工作、尴尬、被他人羞辱、丢脸和羞耻。我们的结果显示，培训后污名得分的均值和标准差降至29.28±7.52，且这一差异具有统计学意义（P<0.001）。
根据本研究结果，培训干预措施减少了污名带来的问题，有助于精神疾病患者的家庭成员面对和应对这些问题。
