الفهرس 
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Abstract
Summary
Psychosis is a group of disorder characterized by thought disorder, abnormal behavior, defective cognition, delusion and hallucination, gross disorganization of personality and severe impairment in social functions, moreover, psychotic patients fail to realize what is real and what is not, reasoning, judgment and insight are lost. Hallucinations and delusions may occur& schizophrenia, delirium, dementia, mania, and depression are examples of psychosis (Iuppa, et al., 2020).
In the caregiving environment, family caregivers may perceive a greater sense of burden and strain in their caregiving because burden might have distorted their views towards the care-recipients and affect their relationships (Winnie &Rebecca,2019), also the family caregivers may conceal their relationship with patient and avoid social interaction, face social exclusion because of the nature of disease’s symptoms, fail to acknowledge the illness and avoid treatment of the patient (Dipika et al., 2020).
Moreover, the stigma that attaches to psychotic patients and their families may leads to numerous detrimental consequences from economic and social perspective, and has great impact on family social relations and employment affecting their quality of life (Barke, Nyarko& Klecha, 2019).
development of Psychiatric nursing intervention program to enhance quality of life for caregivers of patients with mental illness is important element of psychiatric nursing management,which include health education, decreasing maladaptive responses to the identified stressor, enhancing adaptation toward stressors, improving psychological wellbeing, communication skills, psycho social skills, assertive techniques, relaxation techniques, problem solving, crisis intervention, environmental change, social support, stigma reduction, role modeling, counseling, motivation, providing emotional support, lifestyle changes and the teaching of coping skills. managing stress of caregiving role effectively and using healthy coping strategies,all of these strategies are important skills required for caregivers of patients with mental illness for optimum performance and reduce burdens of caregiving requirements to enhance their quality of life (Liang et al., 2018).
Aim of the study
The aim of this study was to evaluate the effect of psychiatric nursing intervention program on family caregivers of psychotic patients through the following:
This aim was achieved through:
1.Assessing the knowledge of family caregivers of psychotic patients.
2.Assessing the quality of life of family caregivers of psychotic patients.
3.Accordingly, developing and implementing psychiatric nursing intervention program for enhancing the quality of life among family caregivers of psychotic patients.
4.Evaluating the effectiveness of psychiatric nursing intervention program on quality of life of family caregivers of psychotic patients.
Hypothesis:
This study assumes that:Psychiatric nursing intervention program will has a positive effect on quality of life of family caregivers of psychotic patients.
Subjects and Methods
Subjects and methods of this study were portrayed under four main domains as following:
I. Technical design.
II. Operational design.
III. Administrative design
IV. Statistical design
I. Technical design.
The technical design includes research design, setting, subjects and tools of data collection.
Research design
A quasi-experimental design (one group pre/posttest) was used in the current study.
Research setting
The study was conducted at the psychiatric outpatient clinics affiliated to Fayoum university hospital
Research subjects
Type of the sample:
Purposive sample were used in the current study.
Sample Size:
The sample were chosen as the number of available family caregivers of psychotic patients and the caregivers of the present study were 50 family caregivers who meet the following criteria:-
1- 1-Both sex was included.
2- Chronicity/duration of patients’ illness more than six months
3- The caregiver who idintified him/herself as the main provider of care for the psychotic patient
4- Willing to participate in the study
Tools for data collection
Data were collected to accomplish the aim of the study through using the following tools:
Tool (1): Socio-demographic Questionnaire for family caregivers of psychotic patients:
This questionnaire was developed by the researcher in simple arabic language after revision, it consists of demograrhic characteristics of family caregivers as: age, sex, marital status, educational level, occupation, place of residence,and history of patient illness as: duration of illness, number of hospitalization, relation to the patient, patient diagnosis, and if there is any other psychotic/mentally ill patient in family.
Tool(2): Experience of Caring Inventory (ECI) Questionnaire for Family Caregivers of Psychotic Patients:
This questionnaire was developed by zmuker, BurgessHeman and Bensor (2011) to be used in measuring the level of satisfaction of family caregivers with knoledge about psychotic disorders. This scale consists of data about psychotic disorders as causes, sings and symptoms, treatment, relapse, and methods of caring with psychotic patients.
Scoring system:
Each item of the eeperience of caring inventory scale that requires participants to respond on a 2-points Likert-type scale, ranging from 1 ( correct) to 2 (incorrect). Subjects with a total score reach or more than 60% were considered to be satisfied with knowledge and those with less than 60% were considered to be unsatisfied with knowledge.
Tool (3): Quality of life scale: The Schizophrenia Caregiver Questionnaire ( SCQ) for Family Caregivers of Psychotic Patients:
This scale was developed by Gater, Rofail, Marshall, Tolley, Abetz-Webb, Zarit and Berardo (2016) to be used for assessing the impact on caregivers of caring for patients with schizophrenia. This scale consists of 75 items could be grouped into ten domains, namely: physical health, emotional health, social relationship, daily life activities, caregiving burdens, patient dependence, worries for the patient, perception of caregiving, dealing with patient’s symptoms, and relationship with the therapeutic team, the first domain is physical health that consists of (10) items, the second domain is emotional health that consists of (12) items.
The third domain is social relationships that consists of (9), the fourth domain is daily life activities that consists of (10) items, the fifth domain is caregiving burdens that consists of (21) items, the sixth domain is patient dependence which consists of (2)items, the seventh domain is worries for the patient that consists of (3) items, the eights domain is perception of caregiving that consists of(2)items, the ninth domain is dealing with patient’s symptoms that consists of (3) items, finally the tenth is relationship with the therapeutic team domain which consists of (3) items.
Scoring system:
Each item from the quality of life scale that requires participants to respond on a 3-points Likert-type scale, ranging from 1 (always) to 2 (sometimes) and 3 (never). The higher score the lower quality of life. ”. Subjects with a total score reach or more than 70% were considered to have lower QOL and those from 40 % to 70% were considered to have moderate QOL and those 40% or less were considererd to have high QOL.
The main findings of this study revealed that:
Regarding the level of knowledge of family caregivers, the present study clarified that, there were increase level of satisfaction of the total knowledge among the studied family caregivers post program implementation.
According to level of quality of life among studied family caregivers, the present study revealed that, there was enhancement in QOL of family caregivers post program implementation.
Concerning correlation between total knowledge and total QOL, the present study denotes that, there was high positive statistically correlation between total score of knowledge and total score of QOL among family caregivers of psychotic patient.