Perspectives and Experiences of Primary Caregivers of Individuals with Schizophrenia in Thailand

Imkome, Ek-uma; Waraassawapati, Koson

doi:10.1080/01612840.2018.1488312

Cited by 13 publications

(6 citation statements)

References 29 publications

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“…Caregivers also expressed concerns and doubts about how patients would pursue relationships, jobs, and independence as time went on. These concerns have also focused at times on how patients will adapt to a society that does not always understand mental disorders rather than symptom management (Imkome & Waraassawapati, 2018).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of an Uncertainty Management Psychoeducation Program for Schizophrenia Caregivers: A Randomized Controlled Trial

Bora

Buldukoğlu

Bailey

2022

J Am Psychiatr Nurses Assoc

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Background: The inconsistent course of schizophrenia causes a long-term experience of uncertainty for individuals and their families. In Turkey, no studies yet exist that have attempted to address this constant uncertainty that is experienced by caregivers of schizophrenic patients. Aims: To evaluate the effects of the Uncertainty Management Psychoeducation Program on reducing uncertainty and intolerance to uncertainty, improving psychological well-being, and coping styles in caregivers of patients with schizophrenia. Method: Single-blinded randomized controlled trial. Caregivers of schizophrenia inpatients were recruited from the psychiatry clinic of a university-affiliated hospital. Data were collected between April 2019 and August 2020. Eligible individuals were randomly allocated to one of the two groups: intervention or control. The intervention group had five individual psychoeducation sessions: “Recognizing Uncertainty,” “Cognitively Reframing Uncertainty,” “Solving Uncertainty-Related Issues,” “Dealing with Uncertainty Using Communication Skills,” and the “Closing Session.” Participants in the control group received the usual care. Uncertainty, intolerance to uncertainty, psychological well-being, and stress coping strategies were measured at two points: at baseline and immediately following the intervention. Hypotheses were tested using the Mann–Whitney U and Wilcoxon tests. Results: A total of 54 participants were recruited. The intervention group’s ratings for “seeking social support” and “optimistic approach” were higher than the control group’s ratings. Significant within-group changes in terms of “uncertainty” and “optimistic approach” were reported for the intervention group in the post-intervention. In the control group, significant changes were seen in terms of “uncertainty” and “psychological well-being” over time. Conclusion: The Uncertainty Management Psychoeducation Program was found to be effective in reducing the level of uncertainty, increasing their optimistic approach, and seeking social support of caregivers of schizophrenic patients.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of an Uncertainty Management Psychoeducation Program for Schizophrenia Caregivers: A Randomized Controlled Trial

Bora

Buldukoğlu

Bailey

2022

J Am Psychiatr Nurses Assoc

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“…Find which activities can reduce anxiety and distract the client from a hallucination, and perform training with the client, such as relaxation techniques [14].…”

Section: Rationalementioning

confidence: 99%

“…Monitor the client for medications' side effects and side effects and provide care as appropriate [14].…”

Section: Implementation (* Apply Telenursing) Rationalementioning

confidence: 99%

Nursing Care for Schizophrenic Clients: Recent Advances and Client-Centred Nursing Care Perspectives

Imkome¹

2023

Schizophrenia - Recent Advances and Patient-Centered Treatment Perspectives

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Schizophrenia is one of the leading causes of disability worldwide; psychiatric disorders can result in impairments of perception, poor self-care, and decreased performance in activities of daily living. Treatment and nursing care are vital options for clients to improve their signs and symptoms, especially during the COVID-19 pandemic. The planning of nursing care for individual schizophrenic clients is essential and will help them have a satisfactory quality of life. Current nursing should be provided according to the client’s needs and particular problems, such as the presence of comorbidities, amidst the state quarantine. The current nursing care focuses on telenursing, with nurses implementing information technology to provide the necessary care. Despite the physical distancing, clients can access nursing services efficiently, with nurses being flexible enough to continue their care provision during the COVID-19 pandemic.

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“…Additionally, it impacts on caregivers' role and functioning that add to the burden of care and economic consequences. [1][2][3] Moreover, care burden can lead to a low quality of life (QOL), particularly when suffering significant burdens, resulting in role confusion, poor caring performance, psychosomatic problems, anxiety, stress, and depressive symptoms. The negative emotional experience of caregivers may lead to low performance of caring and have crucial adverse effects on medication compliance, continuity, and a good understanding of the care and social support.…”

Section: Introductionmentioning

confidence: 99%

“…The negative emotional experience of caregivers may lead to low performance of caring and have crucial adverse effects on medication compliance, continuity, and a good understanding of the care and social support. 1,4 The caregivers work out ways to take care of persons with schizophrenia and methamphetamine misuse with severe psychotic symptoms to the best of their ability. They try to decrease warning signs such as aggressive and violent behaviors as soon as possible.…”

Section: Introductionmentioning

confidence: 99%

Development and psychometric testing of the Thai impact and burden of care scale for caregivers of persons with schizophrenia and co-occurring methamphetamine use

Imkome

2021

F1000Res

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Objective: The objective of the present study was to develop the Thai version of the Impact and Burden of Care Scale for Caregivers of Persons with Schizophrenia and Co-occurring Methamphetamine Use (TIBSCSM) and test its psychometric properties. Methods: This instrument development research subjects were 142 caregivers of persons with schizophrenia and co-occurring methamphetamine use. Sample size adequacy was tested by Kaiser–Meyer–Olkin (KMO), and Bartlett's test of sphericity tested the adequacy of the item correlation matrix. The second-order confirmatory factor analysis (CFA) was used to test the theoretical model. Results The 32-item TIBSCSM showed convergent validity correlations with two quality-of-life measures. Additionally, KMO=0.9, Bartlett’s Test of Sphericity χ2=5248.5, df=496, p<0.001, and internal consistency reliability was high (α=0.9). The CFA has shown that the findings are supported by the theoretical models (χ2=325.2, df=287, p<0.001, RMSEA=0.0, CFI =0.9). Conclusion: The TIBSCSM scale has potential benefits for psychiatric nurses and psychiatric care teams to measure the impact and care burden of caregivers of persons with schizophrenia and methamphetamine use in the areas of nursing, research, education, and clinical determination. The test results suggested that The TIBSCSM scale has potential benefits for psychiatric and mental health care team to assess the impact and burden care of schizophrenic caregiver for both research and clinical purposes, especially during the COVID-19 pandemic for providing care to relieve the impact and burden of care.

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Perspectives and Experiences of Primary Caregivers of Individuals with Schizophrenia in Thailand

Cited by 13 publications

References 29 publications

Effectiveness of an Uncertainty Management Psychoeducation Program for Schizophrenia Caregivers: A Randomized Controlled Trial

Effectiveness of an Uncertainty Management Psychoeducation Program for Schizophrenia Caregivers: A Randomized Controlled Trial

Nursing Care for Schizophrenic Clients: Recent Advances and Client-Centred Nursing Care Perspectives

Development and psychometric testing of the Thai impact and burden of care scale for caregivers of persons with schizophrenia and co-occurring methamphetamine use

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