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一项心理社会支持项目对精神障碍患者家庭照顾者感知压力的影响。

The Effects of a Psychosocial Support Program on Perceived Stress of Family Caregivers of Patients with Mental Disorders.

作者信息

Hajisadeghian Reihaneh, Ghezelbash Sima, Mehrabi Tayebeh

机构信息

Student in Psychiatric Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2021 Jan 18;26(1):47-53. doi: 10.4103/ijnmr.IJNMR_36_20. eCollection 2021 Jan-Feb.

Abstract

BACKGROUND

Taking caring of patients with mental disorders is stressful and people who take care of these patients need to receive enough support and training to overcome this challenging situation. The present study was aimed at investigating the effects of a psychosocial support program on perceived stress of family caregivers of patients with mental disorders.

MATERIALS AND METHODS

This randomized controlled clinical trial was performed on 64 family caregivers of patients with mental disorders referred to Noor and Hazrat-e-Ali Asghar hospital in Isfahan, Iran, in 2018-19. The participants were randomly assigned to the intervention and control groups using a random number table. In the intervention group, the training program was held in 6 sessions of 90-minute training classes twice a week. Data were collected using a demographic characteristics form and the Perceived Stress Scale (PSS) before, immediately after, and 1 month after the intervention. Descriptive and inferential statistical tests such as Chi-square, Mann-Whitney, independent t-test, repeated measures ANOVA, and Kolmogorov-Smirnov test were used to analyze the data in SPSS software.

RESULTS

The result of the study showed that the total mean score of perceived stress in the intervention group was significantly less than the control group immediately after (F=66.29, p<0.001) and 1 month after the intervention (F=66.29, p<0.001).

CONCLUSIONS

Delivering a training program on the different dimensions of support family caregivers need will reduce the perceived stress of family caregivers of patients with mental disorders. Therefore, the implementation of this intervention is recommended in this group of caregivers.

摘要

背景

照顾精神障碍患者压力很大,照顾这些患者的人需要获得足够的支持和培训,以克服这一具有挑战性的情况。本研究旨在调查一项社会心理支持项目对精神障碍患者家庭照顾者感知压力的影响。

材料与方法

2018 - 19年,对转诊至伊朗伊斯法罕努尔和哈扎特 - 阿里·阿斯加尔医院的64名精神障碍患者的家庭照顾者进行了这项随机对照临床试验。使用随机数字表将参与者随机分为干预组和对照组。干预组的培训项目每周进行两次,每次90分钟,共6次课程。在干预前、干预结束后立即以及干预后1个月,使用人口统计学特征表和感知压力量表(PSS)收集数据。使用卡方检验、曼 - 惠特尼检验、独立t检验、重复测量方差分析和柯尔莫哥洛夫 - 斯米尔诺夫检验等描述性和推断性统计检验方法,在SPSS软件中对数据进行分析。

结果

研究结果表明,干预组在干预结束后立即(F = 66.29,p < 0.001)和干预后1个月(F = 66.29,p < 0.001)的感知压力总平均分显著低于对照组。

结论

提供关于家庭照顾者所需支持不同维度的培训项目,将降低精神障碍患者家庭照顾者感受到的压力。因此,建议在这组照顾者中实施该干预措施。

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