1 Department of Psychiatry, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
2 Dr. Ram Manohar Hospital and Postgraduate Institute of Medical Education and Research, New Delhi, India.
Int J Soc Psychiatry. 2019 Aug;65(5):435-442. doi: 10.1177/0020764019852650. Epub 2019 Jun 13.
The caregivers of patients with first episode psychosis (FEP) experience significant distress. It is important to understand their needs to plan adequate interventions for them.
The aim of this study was to explore the needs of caregivers of young patients with FEP in India, using a qualitative approach.
The study was conducted in two phases. In phase I, a script for conducting focus group discussions (FGDs) with caregivers was developed, based on literature search and expert opinion generated from FGD with mental health professionals. In phase II, five FGDs were conducted with 30 caregivers of young patients with FEP having minimal of 6 participants in each FGD. Data was analyzed using principles of grounded theory.
Seven broad themes and subthemes of the needs of caregivers emerged from the FGDs. The final themes, which highlighted the needs of caregivers of young patients with FEP, were (in order of ranking) as follows: information regarding treatment, information regarding illness, services provided by the government, optimum quality of care from treatment facility, management of psychosocial issues related to patient's illness, availability and accessibility of treatment, and identification and recognition of mental health and physical problems in family members.
Qualitative method was useful to identify the needs of the caregivers of young patients with FEP in multiple domains.
首发精神病患者(FEP)的照料者经历着显著的痛苦。了解他们的需求对于为他们规划适当的干预措施非常重要。
本研究旨在采用定性方法探索印度年轻首发精神病患者照料者的需求。
该研究分两个阶段进行。在第一阶段,根据文献检索和与精神卫生专业人员进行的焦点小组讨论(FGD)得出的专家意见,制定了与照料者进行 FGD 的脚本。在第二阶段,进行了五次 FGD,每次 FGD 有 30 名年轻首发精神病患者的照料者参加,每个 FGD 的参与者至少有 6 名。使用扎根理论的原则对数据进行分析。
从 FGD 中得出了照料者需求的七个广泛主题和子主题。最后,突出了年轻首发精神病患者照料者的需求,这些主题按排名顺序如下:(1)治疗相关信息;(2)疾病相关信息;(3)政府提供的服务;(4)治疗机构提供的最佳护理质量;(5)患者疾病相关的心理社会问题管理;(6)治疗的可及性和可及性;(7)识别和认识家庭成员的心理健康和身体问题。
定性方法可用于确定年轻首发精神病患者照料者在多个领域的需求。