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Amaç: Kronik hastalıklar aile yükünü arttırır, aile işlevlerini etkiler. Bu çalışmada, şizofreni hastaları ve bakım verenlerde aile yükünün düzeyi ile sosyodemografik özellikler, klinik bulgular, aile işlevleri ve başa çıkma tutumları arasındaki ilişkinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmaya Recep Tayyip Erdoğan Üniversitesi Eğitim ve Araştırma Hastanesi Psikiyatri Polikliniğine ardışık sıra ile başvuran, 100 şizofreni tanılı hasta ve 100 hasta yakını dahil edildi. Hastalara Pozitif ve Negatif Sendrom Ölçeği (PNSÖ), Sosyal İşlevsellik Ölçeği (SİÖ) uygulanırken hasta yakınlarına Başa Çıkma Tutumlarını Değerlendirme Ölçeği (COPE), Algılanan Aile Yükü Ölçeği (AAYÖ) ve Aile Değerlendirme Ölçeği (ADÖ) uygulandı. Bulgular: Hasta grubunun %57’si kadın (n:57), %43’ü erkek (n: 43) olup, yaş ortalaması 37,4±10’dur. Ortalama hastalık süresi 14,9±8 yıl olarak bulunmuştur. Bakım verenlerin çoğunluğunu (%63’ünü) kadınlar oluşturmuştur. Yaş ortalaması 47,5± 11’dir. Hastaya bakım verme süreleri 11,4 ±7 yıl, birlikte geçirdikleri ortalama zaman 12,8 ±8 saat olarak belirlenmiştir. Hastaların semptomları, hastalık süreleri, hastaların işlevselliklerindeki bozulma derecesi ve bozulmuş aile işlevlerinin aile yükü ile ilişkili olduğu saptanmıştır (p<0,05). Sonuç: Bu çalışmada şizofreni tanılı hastaların pozitif ve negatif belirtilerinin şiddeti arttıkça öznel aile yükü, nesnel aile yükü ve toplam yükün arttığı, sosyal işlevsellik düzeyi azaldıkça aile yükünün arttığı, hasta yakınlarının en sık pozitif yeniden yorumlama ve gelişme, aktif başa çıkma, plan yapma başa çıkma yöntemlerini kullandıkları belirlenmiştir. Şizofreni tanılı hastalara bakım verenlerde aile yükünü azaltmak için semptomların kontrol altına alınması, hastaların sosyal işlevselliklerinin iyileştirilmesi, bakım vermekte olan kişilerin hastalık ve aile işlevleri hakkında eğitilmesi hastalara bakım verenlerin stresli durumlar karşısında başvurdukları olumlu baş etme tutumları, tedavi hedefini belirlemede ve tedavinin etkinliğinin izlenmesi sürecinde yardımcı olacaktır.
Scope: Chronic diseases increase the family burden, affect family functions. This study aims to study the relationship between the level of family burden in schizophrenia patients and caregivers and sociodemographic characteristics, clinical findings, family functions and behavior. Tools and Methods: The study included 100 patients diagnosed with schizophrenia and close to 100 patients, who were applying in a row to the Education and Research Hospital of Recep Tayyip Erdoğan University. The positive and negative syndrome measurement (PNSO) and the social functionality measurement (COPE) were applied to patients, the COPE measurement (COPE) and the COPE measurement (COPE) and the COPE measurement (COPE) were applied. Results: 57% of the patient group are women (n:57), 43% are men (n: 43) and the average age is 37.4±10. The average duration of the disease was 14.9±8 years. The majority of the caregivers (63%) were women. The average age is 47.5 ± 11. The period of care for the patient was 11.4 ± 7 years, and the average time they spent together was 12.8 ± 8 hours. The symptoms of patients, the duration of the disease, the degree of disruption in the function of patients and the disrupted family functions have been found to be related to the family burden (p<0,05). The result: In this study, the severity of the positive and negative symptoms of patients diagnosed with schizophrenia increased, the objective family burden, the objective family burden and the total burden increased, the level of social functionality increased, the family burden increased, the patient's relatives often used the methods of positively reinterpreting and developing, active dealing, planning and dealing. The control of symptoms to reduce the family burden in patients diagnosed with schizophrenia, the improvement of the patient’s social functionality, the training of the person in care about the disease and family functions will help the patient’s positive attitudes to deal with stressful situations, determine the treatment goal and monitor the effectiveness of the treatment.
Aim: Chronic diseases increase family burden and affect family functioning. The aim of this study was to investigate the relationship between family burden and socio-demographic characteristics, clinical findings, family functioning and coping attitudes in schizophrenia patients and caregivers. Material and Method: The study include, DSM-IV TR diagnosed 100 schizophrenic patients and 100 of their caregivers who admitted with sequential order to Recep Tayyip Erdoğan University Psychiatric outpatient clinic. The subjects were assessed by using a sociodemographic data form, Positive and Negative Syndrome Scale (PANSS), and Social Functioning Scale (SFS). Their primary caregivers were assessed using the Coping Attitudes Scale (COPE), the Perceived Family Burden Scale (PFBS) and the Family Assessment Scale (FAD). Results: According to our findings, patients were 57 % of women (n = 57), 43 % of male (n = 43) and the mean age was 37.4 ± 10. Mean illness duration was 14.9 ± 8. The majority of caregivers (63%) were women. The mean age was 47.5 ± 11 years. The mean age of caregiving was 11.4 ± 7 years and the mean time was 12.8 ± 8 hours. Symptoms of the patients, duration of disease, degree of impairment in the functionality of the patients and impaired family functions were found to be related to family burden (p<0.05). Conclusion: In this study, as the severity of positive and negative symptoms of patients with schizophrenia increases, subjective family burden, objective family burden and total burden increase; family burden increases with decreasing social functioning level, positive reinterpretation and development, active coping and plan coping methods they use. In order to reduce family burden in caregivers who are diagnosed with schizophrenia, control of symptoms, improved social functioning of patients, education of caregivers about disease and family functions, positive coping attitudes that caregivers apply to stressful situations, determining treatment target and monitoring the effectiveness of treatment will help.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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