Family Medicine & Primary Care Review

Abstract

2/2019 vol. 21
Original paper

Effectiveness of psycho-education on knowledge regarding schizophrenia and caregivers’ burden among caregivers of patients with schizophrenia – a randomized controlled trial

  1. Department of Psychiatric Nursing, Dharwad Institute of Mental Health and Neurosciences, Dharwad, India
  2. Department of Adult and Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman
Online publish date: 2019/06/18
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Background

Schizophrenia is one of the commonly occurring disorders, often causing a high degree of disability to the patients, as well as being stressful to the caregivers

Objectives

To find the efficacy of psycho-education on knowledge regarding schizophrenia among caregivers and reducing their level of burden.

Material and methods

A randomized controlled trial was used to assess the effectiveness of psycho-education among caregivers of patients with schizophrenia. This study was conducted at a selected state government mental hospital in Karnataka, India. 350 caregivers were randomly assigned to study (n = 175) and control groups (n = 175). Both the group subjects were initially assessed for knowledge and burden. The study group caregivers participated in one or two psycho-education sessions with routine nursing care. Control group subjects received routine care in the hospital. Post-intervention assessment was done at the end of one-month and three-month intervals.

Results

At pre-test, the study group caregivers’ mean knowledge scores were mean = 22.93, SD = 17.03, which was improved to mean = 85.90, SD = 9.51 at the one-month follow-up and mean = 97.94, SD = 4.41 at the three-month follow-up. This improvement was statistically significant at a 0.01 level when compared to control group caregivers. The study group caregivers’ mean burden scores that were initially recorded at pre-test mean = 82.37, SD = 10.40 reduced to mean = 49.13, SD = 8.28 at the one-month follow-up and mean = 40.86, SD = 6.27 at the three-month follow-up. This improvement was statistically significant at a 0.01 level when compared to control group caregivers.

Conclusions

The study group caregivers showed an improvement in knowledge gain and a reduction in care burden. The present study findings provided evidence for the role of psycho-education intervention in reducing care burden among caregivers of patients with schizophrenia and was also found effective in caring for their relatives with appropriate knowledge

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