Zoladl Mohammad, Afroughi Solaiman, Nooryan Khairollah, Kharamin Shirali, Haghgoo Amin, Parandvar Yaghoub
School of Nursing and Midwifery, Yasuj University of Medical Sciences, Yasouj, Iran.
Department of Biostatistics and Epidemiology, School of Health and Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
Iran J Psychiatry. 2020 Jan;15(1):17-26.
Psychological education for families in the form of a model is one of the effective approaches in managing problems caused by mental health problems. The present study aimed to determine the effect of using the participatory care model on the caregiver burden and resilience of home caregivers of patients with mental disorders. In this clinical trial, 66 households with psychiatric patients hospitalized at Shahid Rajaee Psychiatric Hospital in Yasuj during 2014-2015 were selected and assigned into 2 groups of experimental and intervention based on convenience and simple random sampling. The data of this study were gathered by Novak & Guest (1989) Caregiver burden and Sixbey (2005) Resilience Questionnaire before and after intervention. Participatory care model was performed for 12 ninety-minute sessions in the intervention group. No intervention was provided to the control group during the study period. SPSS software (version 21) was used to run the descriptive and inferential statistics. Chi-squared test showed that the caregiver burden was significantly lower in the experimental group than in the control group after the intervention (P = 0.0001). Following the intervention, increased resilience and all its components were observed in the experimental group compared to the control group. According to the independent t test and Mann-Whitney U, the 2 groups were considerably different (P < 0.05). The application of the participatory care model efficiently increased resilience and decreased the intensity of the caregiver burden on the home caregivers of patients suffering from mental disorders.
以模式形式开展的家庭心理教育是管理心理健康问题所引发问题的有效方法之一。本研究旨在确定采用参与式护理模式对精神障碍患者家庭照护者的照护负担和复原力的影响。在这项临床试验中，选取了2014 - 2015年期间在亚苏杰的沙希德拉贾伊精神病院住院的66户有精神病患者的家庭，并根据便利和简单随机抽样将其分为实验组和干预组。本研究的数据通过诺瓦克和格斯特（1989年）的照护者负担问卷以及西克斯贝（2005年）的复原力量表在干预前后收集。干预组进行了12次每次90分钟的参与式护理模式活动。在研究期间，对照组未接受任何干预。使用SPSS软件（版本21）进行描述性和推断性统计分析。卡方检验表明，干预后实验组的照护者负担显著低于对照组（P = 0.0001）。干预后，与对照组相比，实验组的复原力及其所有组成部分均有所提高。根据独立t检验和曼 - 惠特尼U检验，两组差异显著（P < 0.05）。参与式护理模式的应用有效提高了精神障碍患者家庭照护者的复原力，并减轻了他们的照护负担强度。
