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OBJECTIVES: Individuals with schizophrenia manifest the different expressions, behaviors, and personality. Failure to comply with rehabilitation for the patient may impair the patient and caregiver’s quality of life; preventing the patient from self-care, and it is an economic burden for the family and society and chronic progression of the disease. This study aims to determine the compliance with rehabilitation for people with schizophrenia among primary caregivers.
MATERIALS AND METHODS: Participants of 352 primary caregivers of people with schizophrenia were recruited from Nam Dinh General Hospital and Nam Dinh Psychiatric Hospital, Nam Dinh province, Vietnam. To measure the variable of compliance, the researchers designed a caregiver’s compliance with rehabilitation questionnaire. The instrument was validated by three content experts including, a psychiatric physician, a psychiatric nurse and a psychiatric instructor.
RESULT: The research results indicated that the caregivers of people with schizophrenia complied with rehabilitation at a good level of 27.6%, average level of 34.4% and poor level of 38%. There was correlation between caregiver’s age, being supported from others and patient’s illness severity level and compliance with rehabilitation of primary caregivers of people with schizophrenia.
CONCLUSION: Health-care workers should design an intervention program to improve primary caregiver adherence to rehabilitation for schizophrenic individuals to enhance caregiver’s compliance for schizophrenia rehabilitation, which should have relation to caregiver’s age, being supported from others and patient’s illness severity level.
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World Health Organization (WHO). Mental disorders. 2019. (Accessed April 6, 2018, at https://www.who.int/news-room/fact-sheets/detail/mental-disorders ).
Fleischhacker WW, Arango C, Arteel P, et al. Schizophrenia--time to commit to policy change. Schizophr Bull 2014;40 Suppl 3(Suppl 3):S165-94.
National Psychiatric Hospital. Prevention Of Psychological Disorders In The Community In Vietnam. 2012. (Accessed April 6, 2018, at http://www.bvtttw1.gov.vn/?lang=V&func=newsdetail&newsid=697&CatID=83&MN=26 ).
McCutcheon RA, Reis Marques T, Howes OD. Schizophrenia- An Overview. JAMA Psychiatry 2020;77(2):201-10. 5. Tandon R, Gaebel W, Barch DM, et al. Definition and description of schizophrenia in the DSM-5. Schizophr Res 2013;150(1):3-10.
Alsubaie S, Almathami M, Alkhalaf H, et al. A survey on public attitudes toward mental illness and mental health services among four cities in Saudi Arabia. Neuropsychiatr Dis Treat 2020;16:2467-77.
Beebe LH, Smith K, Phillips C. Descriptions and correlates of medication adherence, attitudes, and self-efficacy in out people with Schizophrenia Spectrum Disorders (SSDs). Arch Psychiatr Nurs 2016;30(3):400-5.
Kretchy IA, Osafo J, Agyemang SA, et al. Psychological burden and caregiver-reported non-adherence to psychotropic medications among people with schizophrenia. Psychiatry Res 2018;259:289-94.
Thanh DD, Chuong NA. The effectiveness of drug treatment and psychosocial rehabilitation for schizophrenic patients chained, isolated at home, wandering in the community in Khanh Hoa province. [in Vietnamese]. Medical publisher. Hanoi. 2015.
Dung NT, et al., Change in knowledge of primary caregiver care for schizophrenic patients at home after educational intervention at Nam Dinh mental hospital. [In Vietnamese]. 2020. (Accessed April 6, 2018, https://jns.vn/article/185/4-thay-doi-kien-thuc-ve-cham-soc-nguoi-benh-tam-than-phanliet-tai-nha-cua-nguoi-cham-soc-chinh-sau-can-thiep-giaoduc-ta ).
Yazici E, Karabulut Ü, Yildiz M, et al. Burden on caregivers of people with schizophrenia and related factors. Noro Psikiyatr Ars 2016;53(2):96-101.
World Federation for Mental Health (WFMH). World Mental Health Day 2014. (Accessed April 6, 2018, at https://wfmh.global/about-us/ ).
Desalegn D, Girma S, Abdeta T. Quality of life and its association with psychiatric symptoms and socio-demographic characteristics among people with schizophrenia: A hospital based cross-sectional study. PLoS One 2020;15(2):e0229514.
Takahashi M, Nakahara N, Fujikoshi S, et al. Remission, response, and relapse rates in people with acute schizophrenia treated with olanzapine monotherapy or other atypical antipsychotic monotherapy: 12-month prospective observational study. Pragmat Obs Res 2015;6:39-46.
Kane JM, Kishimoto T, Correll CU. Non-adherence to medication in people with psychotic disorders: epidemiology, contributing factors and management strategies. World Psychiatry 2013;12(3):216-26.
Strunoiu LM, Strunoiu CM, Chirita AL, et al. Factors that Impact Caregivers of Patients with Schizophrenia. Curr Health Sci J 2019;45(3):301-10.
Hajebi A, Naserbakht M, Minoletti A. Burden experienced by caregivers of schizophrenia patients and its related factors. Med J Islam Repub Iran 2019;33:54.
Teferra S, Hanlon C, Beyero T, et al. Perspectives on reasons for non-adherence to medication in persons with schizophrenia in Ethiopia: a qualitative study of people, caregivers and health workers. BMC Psychiatry 2013;13:168.
Lillo-Navarro C, Montilla-Herrador J, Escolar-Reina P, et al. Factors associated with parents’ adherence to different types of exercises in home programs for children with disabilities. J Clin Med 2019;8(4):456.
Patey AM, Hurt CS, Grimshaw JM, et al. Changing behavior‘ more or less’-do theories of behaviour inform strategies for implementation and de-implementation? A critical interpretive synthesis. Implement Sci 2018;13(1):134. https://doi.org/10.1186/s13012-018-0826-6
Phuong N. Conference Proceeding of the project for community and children’s mental health protection in 2016. [In Vietnamese]. 2017. (Accessed May 30, 2018, at http://www.bvttnamdinh.com.vn ).
Ajzen I. Attitudes, Personality and Behavior. 2010. 2nd, Icek Ajzen: Attitudes, Personality and Behavior (Second Edition), Tony Manstead, ed, Open University Press, United Kingdom
Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med 2013;35(2):121-6.
Faul F, Erdfelder E, Lang AG, et al. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007;39(2): 175-91.
Lasebikan VO, Ayinde OO. Family Burden in Caregivers of Schizophrenia Patients: Prevalence and Socio-demographic Correlates. Indian J Psychol Med 2013;35(1):60-6
Eglit GML, Palmer BW, Martin AS, et al. Loneliness in schizophrenia: Construct clarification, measurement, and clinical relevance. PLoS One 2018;13(3):e0194021.
Ergetie T, Yohanes Z, Asrat B, et al. Perceived stigma among non-professional caregivers of people with severe mental illness, Bahir Dar, northwest Ethiopia. Ann Gen Psychiatry 2018;17:42.
Ribé JM, Salamero M, Pérez-Testor C, et al. Quality of life in family caregivers of people with schizophrenia in Spain: caregiver characteristics, caregiving burden, family functioning, and social and professional support. Int J Psychiatry Clin Pract 2018;22(1):25-33.