scholarly journals Family Burden of Schizophrenia Patient who Check at Psychiatric Polyclinic of Psychiatric Hospital of Jambi Province

2016 ◽  
Vol 3 (1) ◽  
pp. 042-045
Author(s):  
Rusmimpong Rusmimpong ◽  
Daryanto Daryanto ◽  
Netha Damayantie

Family has a role in the caring of schizophrenia patient at home. Schizophrenia patient havea clinical condition which can be the factors to be hospitalized or at home. The family ability was alsoa burden for the patients care. The purpose of this study was to know of the correlation of the clinicalconditions of schizophrenic’s patient and the family burden who has family members with schizophreniaat Psychiatric Polyclinic of Asylum of Jambi Province. The design used cross sectional. The sample sizewas 95 families who have family members with schizophrenia and selected by purposive sampling. Thevariables were characteristic of schizophrenia patient, patient clinical condition, and the family burden.The collected data of family burden used Zarit Burden Interview (ZBI). The data were collected onJuly 23 until August 12, 2015. The data analyses used correlation. Family burden correlated withfrequent of inpatient psychiatric hospital (r = 0.30) and positive and negative symptoms of schizophreniapatients (r = 0.26), but not correlated with the sick duration of schizophrenia patient (p = 0.475).Thus, nurses were expected to provide health education which was aimed to improve the knowledge andability of the family to care the patients at home.

2004 ◽  
Vol 19 (7) ◽  
pp. 395-401 ◽  
Author(s):  
B. Lowyck ◽  
M. De Hert ◽  
E. Peeters ◽  
M. Wampers ◽  
P. Gilis ◽  
...  

AbstractPurposeInvestigation into the family burden (FB) of schizophrenic patients has recently risen sharply. Nevertheless, to date there has been little consensus as to what factors influence the FB. The purpose of this study is to acquire a greater insight into the variables that influence the FB.Subjects/MethodsThe FB was measured with the interview for the family burden (Kluiter H, Kramer JJAM, Wiersma D, et al. Interview voor de belasting van de familie 1997 [Interview for the burden on the family]. Department Sociale Psychiatrie. Groningen: Rijksuniversiteit). One hundred and fifty family members (parents/partners) of schizophrenic patients participated in the study.ResultsThe results of our study show (1) that family members experience burden both on a practical and an emotional level, (2) a highly significant correlation between the amount of symptomatic behaviour of the patient and FB, (3) that parents had taken on more tasks, had contributed more financially and had experienced a tenser atmosphere at home than partners did and (4) that family members of patients who have been treated for less than 1 year worry more about the other members of their family than family members of patients who have been receiving treatment for more than 1 year.ConclusionsFamily members of schizophrenic patients experience burden on a practical, financial and emotional level and the extent of the burden is closely linked to the amount of symptomatic behaviour of the patient.


2018 ◽  
Vol 68 ◽  
pp. 01007
Author(s):  
Rico Januar Sitorus ◽  
Novrikasari ◽  
Imelda G. Purba

Background: Narcotics addicts must undergo rehabilitation to get recovery. During the recovery process, families bear both economic and social burdens. This study aimed to find out how the burden of families with family members who experienced relapse was and what factors could exacerbate it. This study used cross-sectional study design by measuring family burden as an outcome. The samples in this study were 168 families having family members who abused narcotics and experienced relapse. Multivariate analysis with multiple linear regression showed that the factors exacerbating the family burden of narcotics abusers were the family member’s age of first use of narcotics and drinking habits (dominant factor) with R = 0.964, R Square = 0.929, Adjusted R Square = 0.928 and Durbin Watson = 0.982. Narcotics abusers who experience relapse will increase the family burden. Factors that aggravate the family burden are as follows: first time using narcotics at an early age and alcohol drinking habit. Therefore, we must prevent the use of narcotics as early as possible among the entire community and stop drinking alcohol.


2018 ◽  
Vol 2 (2) ◽  
pp. 83
Author(s):  
Edi Purnomo ◽  
Zulhaini Sartika A. Pulungan ◽  
Andi Milawati

Mental disorder schizophrenia is a disorder psychic who ranks second in diseases that cause the greatest burden after heart disease. Its burden of mental disorders is mainly felt by the families who have family members with mental disorders. Patients with mental disorders who live with the family does not always indicate the best condition for the recovery of the client. The purpose of this study was to determine the effect of the role of the clerk and the knowledge of the family in improving the ability of families caring for clients with mental disorders at home. This research method is descriptive quantitative research design descriptive analytic approach cross sectional study.  The samples used were 30 families who have family members experiencing mental disorders withpurposivesampling method. The research was conducted in Puskesmas Ulumanda Majene district. Results showed no effect between family knowledge (p=0.005) and the role of health care workers (p=0.008) with the ability of families in caring for clients with mental disorders at home. Conclusion the role of health workers and knowledge affect the ability of families caring for clients with mental disorders at home. Advised the family to be more active in seeking information about the treatment of people with mental disorders at home and health officials often approach to the family to help care clients with mental disorders.


2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
ERWIN Erwin ◽  
ELLY Nurachmah ◽  
TUTI Herawati

Abstract Funding Acknowledgements Type of funding sources: None. Background The client"s condition for heart failure requires environmental support to be able to be confident and able to carry out activities according to the directions given while the patient is undergoing treatment in the hospital, but sometimes in the client"s time period at home there will be situations where patients may experience complaints or changes in conditions that can affect his cardiovascular status. Purpose this study is conducted to identify psychological and social problems and needs of heart failure clients with a qualitative approach of observation, invite individuals or families to participate, motivate individuals to develop the potential to maintain optimal health. In addition, this study was conducted to assess the need and effectiveness of the practice of consulting for heart failure nursing in hospital outpatients Method qualitative observation approach in nursing consulting practice using steps of the nursing process consisting of an assessment of physical, psychological and social conditions and client needs, formulating problems, making plans and taking care of actions in accordance with the problems that exist by nurses in the outpatient clinic at home sick. Results Clients who came to the outpatient clinic had various  psychological and social problems. From the observations and interviews it was found that psychological and social problems were the most common causes. Psychosocial problems arise due to the client himself, life companion (husband or wife) and family members who live together. So that the family system to support clients with heart failure is not awakened. Health education and promotion to clients, life companions, and family members of heart failure clients who live at home are needed when the client controls health to maintain the client"s health support system while at home. All clients and families in this study stated that the practice of nursing consultations in hospital outpatients is very helpful for clients and families to improve the situation they face. Conclusion the practice of nursing consultations can identify the problems and needs of clients and families. Strengthening the client support system for heart failure at home is needed so that psychological and social problems can be reduced when the client is in the family environment. Nursing consultation practices at outpatient hospitals are needed to help motivate clients and families in maintaining and increasing care and support for clients who suffer from heart failure while at home. Psychosocial problems The client felt anxious, lack of attention, complained sleeping difficulty, often forgot taking medicine, and forgot managing fluid intakeThe client,while at home, was fastidious and wanted to many, was difficult to be told or managed, was always suspicious with their spouse"s activity easily got angry or temperamental, the client"s child felt annoyed because the client acted annoying, the client"s spouse felt annoyed because the client was impatient and temperamentalPsychological, and social problems in heart failure patients


2016 ◽  
Vol 38 (2) ◽  
pp. 96-99 ◽  
Author(s):  
Lucas M. Mantovani ◽  
Rodrigo Ferretjans ◽  
Iara M. Marçal ◽  
Amanda M. Oliveira ◽  
Fernanda C. Guimarães ◽  
...  

Abstract Objectives: To investigate the determinants of family burden in a sample of patients with schizophrenia and their caregivers. Methods: Thirty-one stable patients with schizophrenia and their main caregivers were recruited. Sociodemographic variables were assessed in a semi-structured interview, and positive and negative symptoms were assessed with the Positive and Negative Syndrome Scale (PANSS). Cognitive performance was assessed with the Schizophrenia Cognition Rating Scale (SCoRS). Levels of burden on caregivers were assessed with the Family Burden Interview Schedule (FBIS). Interactions among variables were analyzed using Pearson correlations and linear regression analysis. Results: Objective and subjective FBIS scores were 1.9 (standard deviation [SD] = 0.5) and 2.4 (SD = 0.6) respectively. Objective burden correlated positively with positive and negative symptoms, and cognitive impairment. Subjective burden correlated positively with positive symptoms and negatively with mean age of disease onset. Positive, negative and cognitive symptoms accounted for 47.6% of the variance of objective burden, with negative symptoms accounting independently for 30.3%. Age of onset, parents as caregivers and positive symptoms accounted for 28% of the variance of subjective burden, with age of onset independently explaining 20.3%. Conclusion: Patients' clinical and sociodemographic variables are important determinants of family burden in schizophrenia. Objective burden is predicted by symptoms, particularly negative ones. Subjective burden is predicted by symptoms and sociodemographic variables, particularly age of disease onset.


2020 ◽  
Vol 7 (2) ◽  
pp. 108
Author(s):  
Nuniek Tri Wahyuni ◽  
Heni Fa'riatul Aeni ◽  
Muhammad Azizudin

ABSTRAK Pneumonia merupakan penyebab dari 15% kematian pada balita. Keberadaan anggota keluarga yang merokok di dalam rumah merupakan salah satu faktor penyebab terjadinya masalah kesehatan pada sistem pernafasan khususnya Pneumonia pada anak. Tujuan penelitian ini adalah untuk mengetahui hubungan kebiasaan merokok di dalam rumah dengan kejadian Pneumonia pada anak usia 1-4 tahun. Jenis penelitian ini adalah penelitian analitik dengan pendekatan cross sectional. Populasi penelitian ini adalah anggota keluarga yang memiliki anak usia 1-4 tahun yang terkena Pneumonia sebanyak 110 dengan jumlah sampel 86 responden menggunakan accidental sampling. Pengumpulan data diperoleh dengan menggunakan kuesioner dan dianalisis secara statistik menggunakan uji Chi Square. Berdasarkan hasil uji statistik dari 86 responden yang memiliki keberadaan orang yang merokok di dalam rumah sebanyak 52 orang (60,47%) sedangkan keberadaan orang yang tidak merokok di dalam rumah sebanyak 34 (39,53%).  Responden dengan kategori mengalami Pneumonia sebanyak 75 orang (87,21%), yang mengalami Pneumonia berat sebanyak 7 orang  (8,14%) dan yang mengalami Pneumonia sangat berat sebanyak 4 orang (4,63 %) dengan  P value = 0,016 (< 0,05). Terdapat hubungan kebiasaan merokok  dengan kejadian Pneumonia pada anak usia 1-4 tahun.    Kata kunci  : kebiasaan merokok; pneumonia; anak  CORRELATION BETWEEN SMOKING HABITS AT HOME AND THE INCIDENT OF PNEUMONIA AMONG CHILDREN AGED 1-4 YEARS  ABSTRACT Pneumonia is the cause of 15% of deaths in children under five. The presence of family members who smoke in the house is one of the causal factors of health problems in the respiratory system, especially pneumonia among children. This study was aimed to determine the correlation between smoking habits at home and the incidence of pneumonia among children aged 1-4 years. This was an analytic study with cross sectional approach. The population of this study were family members who had children aged 1-4 years with pneumonia as many as 110 people. The number of samples was taken through the Slovin sample size formula totally 86 respondents and the determination of the samples used Accidental Sampling. Data were collected using a questionnaire and analyzed statistically using the Chis Square test. Based on the results of statistical tests, it was revealed that of 86 respondents, 52 people (60.47%) had the presence of people who smoked in the house while 34 (39.53%) did not have had the presence of people who smoked in the house.  75 respondents (87.21%) had pneumonia, 7 people experienced severe pneumonia (8.14%) and 4 people experienced very severe pneumonia (4.63%). Chi Square test results obtained a P value=0.016 (<0.05), which meant that there is a relationship between smoking habit at home and the incidence of pneumonia among children aged 1-4 years. Keywords: Smoking habit; pneumonia; children


Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 74 ◽  
Author(s):  
Byba Melda Suhita ◽  
Chatarina Umbul Wahyuni ◽  
Hari Basuki Notobroto ◽  
Ah Yusuf

Introduction: Schizophrenia is a severe mental disorder that is characterized by impaired reality (hallucinations and delusions), inability to communicate, affect unnatural or blunt, cognitive disorders (not capable of abstract thinking) and had difficulty doing daily activities. Normally, the family is most affected by the presence of people with schizophrenia in their families. The purpose of this study was to develop an adaptation model of the caregiver in caring for family members with schizophrenia in Kediri. Methods: This study used cross-sectional design with nature explanatory research. Data were collected using a questionnaire on 135 respondents in nine health centers in the city of Kediri region. The sampling technique used simple random sampling. For data analysis and test, the feasibility used a test model of SEM with AMOS program 19. Results: The results showed self esteem caregiver (-0.25 <0.05), community resources (0.24 <0.05), self-efficacy (0.22> 0.05) , caregiver coping effort (12:17 <0.05), and the perception of caregiver about the family situation at this time (0:19 <0.05), which means that adaptation of caregiver in treating patients with schizophrenia is influenced by the characteristics of the family, namely community resources, self-efficacy, caregiver coping effort, self-esteem and perception of family caregiver to the conditions experienced at this time. Perception of caregiver about the condition of today's families is affected by stress, which appears on a caregiver stress due to stressor for caring for people with schizophrenia, especially the aggressive behavior of schizophrenics. Discussion: Adaptation of caregiver was highly influential in the care of people with schizophrenia because in this case becomes one of the important points to be able to sustain the process of treatment and prevent relapse of schizophrenics.


2016 ◽  
Vol 22 (1) ◽  
pp. 7 ◽  
Author(s):  
Gian Lippi

How often do we find ourselves concentrating so much on treating a patient with schizophrenia that we forget about the needs and difficulties of the family members who take care of that patient? This article highlights the global and specific difficulties that families and caregivers experience in having to care for chronically ill family members with schizophrenia with a backdrop of continuing global deinstitutionalisation of such patients. Matters such as burden and expressed emotion are explored, family-specific interventions are discussed and areas of service delivery and resource inadequacies are identified.


2010 ◽  
Vol 28 (1) ◽  
pp. 142-148 ◽  
Author(s):  
Takuya Shinjo ◽  
Tatsuya Morita ◽  
Kei Hirai ◽  
Mitsunori Miyashita ◽  
Kazuki Sato ◽  
...  

Purpose The aim of this study was to clarify the level of emotional distress experienced by bereaved family members and the perceived necessity for improvement in the care for imminently dying patients and to explore possible causes of distress and alleviating measures. Methods A cross-sectional nationwide survey was performed in 2007 of bereaved families of cancer patients at 95 palliative care units across Japan. Results Questionnaires were sent to 670 families, and 76% responded. Families reported their experiences as very distressing in 45% of cases. Regarding care, 1.2% of respondents believed that a lot of improvement was needed, compared with 58% who believed no improvement was needed. Determinants of high-level distress were a younger patient age, being a spouse, and overhearing conversations between the medical staff outside the room at the time of the patient's death; those reporting high-level necessity of improvement were less likely to have encountered attempts to ensure the patient's comfort, received less family coaching on how to care for the patient, and felt that insufficient time was allowed for the family to grieve after the patient's death. Conclusion A considerable number of families experienced severe emotional distress when their family member died. Thus, we propose that a desirable care concept for imminently dying cancer patients should include relief of patient suffering, family advisement on how to care for the patient, allowance of enough time for the family to grieve, and ensuring that family members cannot overhear medical staff conversations at the time of the patient's death.


2017 ◽  
Vol 54 (3) ◽  
pp. 423-441 ◽  
Author(s):  
Yaara Zisman-Ilani ◽  
Ilanit Hasson-Ohayon ◽  
Itamar Levy-Frank ◽  
Rivka Tuval-Mashiach ◽  
David Roe

The current cross-sectional study investigated and compared the associations between insight, self-stigma, and family burden among Jewish and Arab mothers of an adult son or daughter with serious mental illness (SMI) in Israel. A total of 162 Israeli mothers of a person with SMI participated in the study; 95 were Jewish (58.6%), and 67 were Arab (41.4%). Insight, self-stigma, and family burden scales were administered. Jewish mothers reported higher levels of insight into their son’s or daughter’s illness and reported greater family burden compared to Arab mothers. No significant differences in self-stigma scores were found between Jewish and Arab mothers. The pattern of associations between insight, self-stigma, and burden differed between Jewish and Arab mothers. Self-stigma was found to mediate the relationship between insight and burden among Jewish mothers but not among Arab mothers. Ethno-national affiliation should be taken into consideration regarding how family members conceptualize and experience mental illness, as this might affect care.


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