The effectiveness of nursing psychoeducation toward family burden and quality life on caregiver of people with schizophrenia in the community


Published: 9 February 2023
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Introduction: The caregivers of people with schizophrenia have problems that include high family, burden and low quality of life at home. Therefore, this study aims to determine the effectiveness of nursing psychoeducation on family, burdens and quality of life in caregivers of schizophrenia patients in the community.

Design and Methods: This study used a pre-test and post-test group control design and repeated measurement with a total of 100 respondents. The treatment group was given weekly nursing psychoeducation for seven sessions. Also, the general linear model (GLM) was used to analyze the result.

Results: This study showed that before the intervention of nursing psychoeducation, the average family burden was 49,02 and 46.28 in the treatment and control groups, respectively. This decreased to 38.24 and 37.56 in the first and fourth weeks of posttreatment. Meanwhile, the control group was 44.86 in the first week and 45.62 in the fourth. The psychoeducation had an effect on decreasing the family burden with a p value < 0.001. Moreover, this study showed that before the intervention of nursing psychoeducation, the average caregiver quality of life was 75,72 and 74.24 in the treatment. After treatment, it increased to 91.22 in the first week after intervention and 92.54 in the fourth week of post-intervention. Therefore, the intervention effectively improved the caregiver quality of life with p < 0.001

Conclusions: Nursing psychoeducation can effectively reduce family burdens and improve the quality of life for caregivers.

 


Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar 2018. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.

Zhang C. The involvement of family members in the treatment of patients with schizophrenia. Curr Treat Options Psychiatry 2016;3:111–8. DOI: https://doi.org/10.1007/s40501-016-0073-x

Gonçalves-Pereira M, Xavier M, Van Wijngaarden B, et al. Impact of psychosis on Portuguese caregivers: A cross-cultural exploration of burden, distress, positive aspects and clinical-functional correlates. Soc Psychiatry Psychiatr Epidemiol 2013;48:325–35. DOI: https://doi.org/10.1007/s00127-012-0516-7

Fitryasari R, Yusuf A, Nursalam, et al. Family members’ perspective of family Resilience’s risk factors in taking care of schizophrenia patients. Int J Nurs Sci 2018;5:255–61. DOI: https://doi.org/10.1016/j.ijnss.2018.06.002

Sin J, Elkes J, Batchelor R, et al. Mental health and caregiving experiences of family carers supporting people with psychosis. Epidemiol Psychiatr Sci 2021;30. DOI: https://doi.org/10.1017/S2045796020001067

FK UI. Buku Ajar Psikiatri. [Textbook of Psychiatry.] Jakarta: FK UI; 2013.

Stuart GW. Prinsip dan Praktik keperawatan Kesehatan Jiwa Stuart. [Stuart's Principles and Practice of Mental Health Nursing.] 1st ed. Keliat BA, editor. Jakarta: Elsevier; 2016.

Glanville DN, Dixon L. Caregiver burden, family treatment approaches and service use in families of patients with schizophrenia. Isr J Psychiatry Relat Sci 2005;42:15–22.

Caqueo-Urízar A, Urzúa A, Jamett PR, et al. Objective and subjective burden in relatives of patients with schizophrenia and its influence on care relationships in Chile. Psychiatry Res 2016;237:361–5. DOI: https://doi.org/10.1016/j.psychres.2016.01.013

Kate N, Grover S, Kulhara P, Nehra R. Relationship of quality of life with coping and burden in primary caregivers of patients with schizophrenia. Int J Soc Psychiatry 2014;60:107–16. DOI: https://doi.org/10.1177/0020764012467598

Grover S, Pradyumna, Chakrabarti S. Coping among the caregivers of patients with schizophrenia. Ind Psychiatry J 2015;24:5. DOI: https://doi.org/10.4103/0972-6748.160907

Kate N, Grover S, Kulhara P, et al. Relationship of caregiver burden with coping strategies, social support, psychological morbidity, and quality of life in the caregivers of schizophrenia. Asian J Psychiatr 2013;6:380–8.

Kate N, Grover S, Kulhara P, et al. Relationship of caregiver burden with coping strategies, social support, psychological morbidity, and quality of life in the caregivers of schizophrenia. Asian J Psychiatr 2013;6:380–8. DOI: https://doi.org/10.1016/j.ajp.2013.03.014

Tanriverdi D, Ekinci M. The effect psychoeducation intervention has on the caregiving burden of caregivers for schizophrenic patients in Turkey. Int J Nurs Pract 2012;18:281–8. DOI: https://doi.org/10.1111/j.1440-172X.2012.02033.x

Tristiana RD, Triantoro B, Nihayati HE, et al. Relationship Between Caregivers’ Burden of Schizophrenia Patient with Their Quality of Life in Indonesia. J Psychosoc Rehabil Ment Heal 2019;6:141–8. DOI: https://doi.org/10.1007/s40737-019-00144-w

Puspitosari WA, Wardaningsih S, Nanwani S. Improving the quality of life of people with schizophrenia through community based rehabilitation in Yogyakarta Province, Indonesia: A quasi experimental study. Asian J Psychiatr 2019;42:67–73. DOI: https://doi.org/10.1016/j.ajp.2019.03.022

Wardaningsih S, Rochmawati E, Sutarjo P. Gambaran Strategi Koping Keluarga dalam Merawat Pasien Skizofrenia di Wilayah Kecamatan Kasihan Bantul. J Mutiara Med 2010;10:55–61.

ZamZam R, Midin M, Hooi LS, et al. Schizophrenia in Malaysian families: A study on factors associated with quality of life of primary family caregivers. Int J Ment Health Syst 2011;5:16.

Panigrahi S, Acharya RK, Patel MK, et al. Quality of life in caregivers of patients with schizophrenia and its correlation with severity of illness. Int J Eng Sci 2014;3:55–60.

Caqueo-Urízar A, Alessandrini M, Urzúa A, et al. Caregiver’s quality of life and its positive impact on symptomatology and quality of life of patients with schizophrenia. Health Qual Life Outcomes 2017;15:1–10. DOI: https://doi.org/10.1186/s12955-017-0652-6

Sarkhel S, Singh OP. Clinical practice guidelines for psychoeducation in psychiatric disorders general principles of psychoeducation. Indian J Psychiatry 2020;62:19–23. DOI: https://doi.org/10.4103/psychiatry.IndianJPsychiatry_780_19

Boyer L, Caqueo-Urízar A, Richieri R, et al. Quality of life among caregivers of patients with schizophrenia: a cross-cultural comparison of Chilean and French families. BMC Fam Pract 2012;13:42. DOI: https://doi.org/10.1186/1471-2296-13-42

Martín-Carrasco M, Fernández-Catalina P, Domínguez-Panchón AI, et al. A randomized trial to assess the efficacy of a psychoeducational intervention on caregiver burden in schizophrenia. Eur Psychiatry 2016;33:9–17. DOI: https://doi.org/10.1016/j.eurpsy.2016.01.003

Matsuda M, Kohno A. Effects of the Nursing Psychoeducation Program on the Acceptance of Medication and Condition-Specific Knowledge of Patients with Schizophrenia. Arch Psychiatr Nurs 2016;30:581–6. DOI: https://doi.org/10.1016/j.apnu.2016.03.008

Zhou Y, Ning Y, Rosenheck R, et al. Effect of living with patients on caregiver burden of individual with schizophrenia in China. Psychiatry Res 2016;245:230–7. DOI: https://doi.org/10.1016/j.psychres.2016.08.046

Suharsono, Marchira CR, Rahmat I, Subandi. The Relationship between Family Burden and Coping Strategies in the Caregiver of Patient with Schizophrenia in Community. Int J Psychosoc Rehabil 2020;24:2593–9. DOI: https://doi.org/10.37200/IJPR/V24I3/PR2020292

Ozlu A, Yildiz M, Aker T. Burden and burden-related features in caregivers of schizophrenia patients. Düşünen Adam: J Psychiatr Neurol Sci 2015;28:147–53. DOI: https://doi.org/10.5350/DAJPN2015280207

Jagannathan A, Thirthalli J, Hamza A, et al. Predictors of family caregiver burden in schizophrenia: Study from an in-patient tertiary care hospital in India. Asian J Psychiatr 2014;8:94–8. DOI: https://doi.org/10.1016/j.ajp.2013.12.018

Öksüz E, Karaca S, Özaltın G, et al. The Effects of Psychoeducation on the Expressed Emotion and Family Functioning of the Family Members in First-Episode Schizophrenia. Community Ment Health J 2017;53:464–73. DOI: https://doi.org/10.1007/s10597-017-0086-y

Yasuma N, Sato S, Yamaguchi S, et al. Effects of brief family psychoeducation for caregivers of people with schizophrenia in Japan provided by visiting nurses: Protocol for a cluster randomised controlled trial. BMJ Open 2020;10:e034425 DOI: https://doi.org/10.1136/bmjopen-2019-034425

Marchira CR, Supriyanto I, Subandi S, et al. Brief interactive psychoeducation for caregivers of patients with early phase psychosis in Yogyakarta, Indonesia. Early Interv Psychiatr 2017;13:469–76. DOI: https://doi.org/10.1111/eip.12506

Navidian A, Kermansaravi F, Rigi SN. The effectiveness of a group psycho-educational program on family caregiver burden of patients with mental disorders. BMC Res Notes 2012;5:399. DOI: https://doi.org/10.1186/1756-0500-5-399

Shiraishi N, Watanabe N, Katsuki F, et al. Effectiveness of the Japanese standard family psychoeducation on the mental health of caregivers of young adults with schizophrenia: A randomised controlled trial. BMC Psychiatry 2019;19:1–12. DOI: https://doi.org/10.1186/s12888-019-2252-y

Tabeleão V, Tomasi E, de Avila Quevedo L. A Randomized, Controlled Trial of the Effectiveness of a Psychoeducational Intervention on Family Caregivers of Patients with Mental Disorders. Community Ment Health J 2018;54:211–7. DOI: https://doi.org/10.1007/s10597-017-0126-7

Ribé JM, Salamero M, Pérez-Testor C, Mercadal J, Aguilera C, Cleris M. Quality of life in family caregivers of schizophrenia patients in Spain: caregiver characteristics, caregiving burden, family functioning, and social and professional support. Int J Psychiatry Clin Pract 2018;22:25-33. DOI: https://doi.org/10.1080/13651501.2017.1360500

ZamZam R, Midin M, Hooi LS, et al. Schizophrenia in Malaysian families: A study on factors associated with quality of life of primary family caregivers. Int J Ment Health Syst. 2011;5:16. DOI: https://doi.org/10.1186/1752-4458-5-16

Yazici E, Karabulut U, Yildiz M, et al. Burden on Caregivers of Patients with Schizophrenia and Related Factors. Noro Psikiyatr Ars. 2016;53:96–101. DOI: https://doi.org/10.5152/npa.2015.9963

Suharsono, S., Faidah, N., & Hanafi, M. (2023). The effectiveness of nursing psychoeducation toward family burden and quality life on caregiver of people with schizophrenia in the community . Healthcare in Low-Resource Settings, 11(s1). https://doi.org/10.4081/hls.2023.11215

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