Stress and Coping Status Among the Caregivers of Psychiatrist Patients

Mohammad Sayeed Ahmad, Md Abdullah Al Mamun, Sadia Chowdhury, Md Ahsan Habib
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Abstract

Background: Mental disorder account for 13% global burden of disease which has affected more than 970 million people worldwide in 2017. About 1 in 17 suffers from serious mental illness in worldwide. Therefore, the affected person is dependent on caregiver and their wellbeing is directly related to nature and quality of care provided by caregiver. Caregiver are especially vulnerable as they face complex, high burden care situation resulting in higher caregiver stress. The aim of this study is to determine the level of stress and coping of caregivers of Psychiatric patients. Materials and Methods: This cross sectional study was conducted among 171 caregivers, aged more than 18 years in National Institute of Mental Health (NIMH) Shyamoli, Dhaka. Study period was from 1 January to 31 December 2020. The research participants were selected following the convenient sampling method based on defined selection criteria. A semi-structured questionnaire was developed and the respondents were interviewed face to face individually while maintaining privacy and confidentiality. Result: Distribution of the socio demographic status of the study participants were females74% and male 26%. Their mean age was 40.09(±13.31) years. In educational level 33.9 % of the participants were illiterate, secondary level education up to 21.1%. In occupation housewife 57.9%, service holder 18.7%. Caregiver having 76.6% moderate stress, low stress 21.6% and 1.8% having high perceived stress. Association between stress and coping average, good coping 74.8% and 88.2% had moderate stress respectively. Their significant P value .009(p<0,05). The person’s correlation present between stress and coping was positive. The correlation co-efficient was .06 (p<0.05). So, there was a weak positive correlation between level of stress and coping status. Conclusion: Health care personal may screen the stress level of caregivers and if there is any functional impairment is present, they could proper evaluation and therapeutic intervention. KYAMC Journal Vol. 13, No. 04, January 2023: 240-244
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精神科病人照护者的压力与应对状况
背景:精神障碍占全球疾病负担的13%,2017年全球有超过9.7亿人受到影响。全世界每17人中就有1人患有严重精神疾病。因此,受影响的人依赖于照顾者,他们的幸福与照顾者提供的照顾的性质和质量直接相关。照顾者尤其脆弱,因为他们面临复杂的、高负担的照顾情况,导致更高的照顾者压力。本研究的目的是确定精神病人照顾者的压力和应对水平。材料和方法:本横断面研究在达卡Shyamoli国家精神卫生研究所(NIMH)的171名年龄在18岁以上的护理人员中进行。研究期间为2020年1月1日至12月31日。研究参与者是根据定义的选择标准,按照方便的抽样方法选择的。我们制定了一份半结构化的问卷,在保持隐私和保密的情况下,对受访者进行面对面的单独访谈。结果:研究对象的社会人口学地位分布为女性74%,男性26%。平均年龄40.09(±13.31)岁。在受教育程度方面,33.9%的参与者是文盲,中等教育程度高达21.1%。职业中家庭主妇57.9%,服务业人员18.7%。照顾者有76.6%的中度压力,21.6%的低压力和1.8%的高感知压力。应激与应对能力的相关性为:平均、良好、中等应激分别为74.8%和88.2%。显著性P值为0.009 (P < 0.05)。这个人的压力和应对之间的相关性是正的。相关系数为0.06 (p<0.05)。因此,压力水平与应对状态之间存在微弱的正相关关系。结论:保健人员可对照顾者的应激水平进行筛查,如果存在功能障碍,可进行适当的评估和治疗干预。KYAMC学报第13卷第04期,2023年1月:240-244
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