Impact of Watson’s human caring-based health promotion program on caregivers of individuals with schizophrenia

BMC Health Services Research

Research

Mahnaz Rakhshan¹  Zahra Hadian Shiazi¹  Ladan Zarshenas¹  Farkhondeh Sharif¹  Ebrahim Moghimi Sarani²  Kathleen Sitzman³  Shahpar Bagheri⁴ 

[1] Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;Department of Psychiatry, School of Medicine, Research Center for Psychiatry and Behavior Science, Ibn-E-Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran;Distinguished Watson Caring Science Scholar, East Carolina University, College of Nursing, Greenville, NC, USA;Student Research Committee, Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;

关键词: Caregivers;    Health promotion;    Schizophrenia;    Sense of coherence;    Watson’s Human Caring Theory;    Well-being;   

DOI  :  10.1186/s12913-023-09725-9

 received in 2023-02-16, accepted in 2023-06-21,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundCaring for people with schizophrenia is accompanied by challenges that impact caregiver health. We conducted this study to explore the effect of a Caring Science-Based health promotion program on the sense of coherence and well-being among caregivers of persons with schizophrenia.MethodsThis randomized clinical trial with the Solomon four-group design was conducted on 72 caregivers randomly allocated into two intervention and two control groups. A health promotion program based on Watson’s theory was performed individually through five face-to-face sessions and a four-week follow-up. Settings were the psychiatric centers of the three educational, specialty, and subspecialty Ibn-e-Sina, Moharary, and Hafez hospitals affiliated with Shiraz University of Medical Sciences (SUMS), south of Iran. The data were collected using a demographic information form, the Sense of Coherence Scale, and the Caregiver Well-Being Scale. One-way ANOVA, chi-square, Kruskal–Wallis, and independent t-test were used to determine the homogeneity at baseline. In the post-test, multiple between-groups and pairwise comparisons were assessed by One-way ANOVA and Tukey’s post-hoc. Within-group comparisons were evaluated using paired t-tests. All tests were two-tailed, and the statistical level was considered 0.05.ResultsData analysis showed that the mean scores of caregiver sense of coherence and well-being from pre-intervention to post-intervention were significantly increased in the intervention groups (p < 0.001). At the same time, there were no significant differences in the control groups.ConclusionThe health promotion program based on Watson’s human caring theory facilitated ongoing intrapersonal, and holistic caring and improved the sense of coherence and well-being in caregivers of persons with schizophrenia. Hence, this intervention is recommended for developing healing care programs.Trial registrationhttps://www.irct.ir/trial/55040: IRCT20111105008011N2 (11/04/2021).

【 授权许可】

CC BY   
© The Author(s) 2023

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