Şizofreni tanılı hastalarda yaşanan sorunlar, işitsel varsanılar ve algılanan sosyal destek

Abstract

Öz Purpose: The purpose of this study is to determine the experienced problems, auditory hallucinations, and perceived social support in patients with schizophrenia followed up in Community Mental Health Center (CMHC) and outpatient clinics. Materials and Methods: This comparative-descriptive study was carried out between January-June 2017 in an adult psychiatry outpatient clinic of a university hospital and two CMHCs. The sample consisted of 66 patients, followed up in CMHC (n=33) and outpatient clinic (n=33). The data of the study were collected using Patient Information Form and Multidimensional Scale of Perceived Social Support. Results: The average age, gender, educational status, marital status of the patients in CMHC and outpatient clinic group, the people living with them, and the presence of another individual with a mental disorder in the family were similarities in terms of the characteristics of the disorder and treatment. Most of the patients explained the cause of the disease as "I don't know/I don't remember/black magic/destiny given by God". Most of the patients in the outpatient clinic group (78.6%) and patients slightly more than half of CMHC group (51.5%) explained the cause of the hallucinations as "I don't know/gins/black magic/surrounding evils". The difference between these rates were found to be statistically significant. Conclusion: Patients followed up in CMHC and patients followed up in the outpatient clinic exhibited similarity in terms of problems experienced due to the disease and coping characteristics. Amaç: Bu çalışmanın amacı, Toplum Ruh Sağlığı Merkezi (TRSM) ve poliklinikte takip edilen şizofreni tanılı hastalarda yaşanan sorunlar, işitsel varsanılar ve sosyal destek algısının belirlenmesidir. Gereç ve Yöntem: Karşılaştırmalı-tanımlayıcı tipte olan bu araştırma, iki TRSM ve bir üniversite hastanesi yetişkin psikiyatri polikliniğinde Ocak-Haziran 2017 tarihleri arasında yürütülmüştür. TRSM'de (n=33) ve poliklinikte (n=33) takip edilen toplam 66 hasta örneklemi oluşturmuştur. Araştırmanın verileri Hasta Bilgi Formu ve Çok Boyutlu Algılanan Sosyal Destek Ölçeği ile toplanmıştır. Bulgular: TRSM ve poliklinik grubundaki hastalar yaş ortalaması, cinsiyet, eğitim durumu, medeni durum, evde birlikte yaşanan kişiler, ailede ruhsal hastalığı olan başka bir bireyin bulunması, hastalık ve tedavi ile ilgili özellikler açısından benzerdir. Hastaların çoğu hastalığın nedenini "bilmiyorum / hatırlamıyorum/ büyüler/ Allah tarafından oldu" şeklinde açıklamıştır. Poliklinik grubundaki hastaların çoğu (%78.6), TRSM grubundaki hastaların ise yarıdan biraz fazlası (%51.5) işitsel varsanıların nedenini "bilmiyorum / cinler/ büyüler/ çevredeki kötülükler" şeklinde açıklamıştır. Bu oranlar arasındaki fark istatistiksel olarak anlamlı bulunmuştur. Sonuç: TRSM'de takip edilen hastalar ile poliklinikten takip edilen hastalar, hastalığa bağlı yaşanan sorunlar ve baş etme özellikleri yönünden benzerlik göstermektedir.

The Relationship Between the Self-Recovery Power and the Nursing Care Perception and the Perceived Social Support of Psychiatric Patients: A Cross-Sectional Study

“…In a study conducted with psychiatric patients, it was found that the mean MSPSS total score was 52.18 ± 23.8, and there was a significant difference between outpatients and inpatients regarding the MSPSS (p<0.05) (12). In a related study conducted with schizophrenic patients admitted to outpatient clinics and Community Mental Health Centers (CMHC), it was observed that the average score for perceived social support (MSPSS) of patients admitted to CMHC (47.48±18.21) was higher than that of the outpatient clinic patients (45.24±17.11) and that the average of psychiatric patients was moderate and there was no significant difference between them (31). In studies conducted with inpatients in non-psychiatric clinics, the average score for perceived social support of patients was (53.49 ± 21.31) ( 32), (61.96±22.05) (33), and 61.90+16.58 (min:14, max:84) (34).…”

Öğrenci Hemşireler Tarafından Ruh Sağlığı ve Hastalıkları Hakkında Çekilen Kısa Filmlerin Psikiyatri Hastalarına Yönelik Tutumlarına Etkisi

“…Having a supporting environment and having easy access to mental illness services are facilitating factors for recovery. Many studies have stated that social support is an important factor in recovery, adherence to treatment, quality of life, gaining insight, preventing internal stigma, and coping with symptoms in diseases such as substance abuse, schizophrenia, and bipolar (Barrios, Guilera, Selb & Gomez-Benito, 2017;Çam & Yalçıner, 2018;Ercan & Demir, 2019;Koç & Tok, 2020;Kök & Demir, 2018). Our study's result obtained from the scripts and showing the attitudes of students towards psychiatric patients in the clearest way, is that "every mental illness (schizophrenia, bipolar disorder, hypochondriasis, dissociative disorder, OCD, anorexia nervosa, social phobia, substance use disorder), is 'treatable' with professional treatment and care service, adequate family, and social environment support".…”