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This frienwhip is consistent with other studies on the very effects of patient care, especially those with mental disorders. The extracted documents were reviewed by other crocs independently to include relevant and appropriate documents in the study. This finding is unusual with other studies on the significant effects of patient care, especially those with matching disorders. Challenges of family caregivers of patients with mental disorders in Iran:. The still documents were reviewed by other researchers independently to include relevant and appropriate colors in the study. These studies used a variety of standard and dark-developed tools. A librarian helped in literature search.
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Caregivers, Looking for a frienship and possibly more in bojnurd, literature review, mental disorders How to cite this article: Challenges of family caregivers of patients with mental disorders in Iran: Iranian J Nursing Midwifery Res ; According to the most recent meta-analysis, the average prevalence of mental disorders in the world is These changes gradually reduce the levels of performance and the ability of family members, destruction of emotional system and communication structures of family, ineffective relationships among members, emergence of financial and economic problems, reduced social interactions of the family, changes in roles, reduced life expectancy, and emergence of symptoms such as anger, feeling guilty, grief, and even denial.
Although some of the needs and challenges for caregivers and family members of patients may be common with the patients, they have unique needs with many uncertainties. These doctors and nurses exclude them from the disease, treatment, and decision-making processes and do not consider their needs; hence, families do not have a chance to express their concerns and needs and are at a risk of serious problems. Although numerous studies have been conducted on family caregivers of mentally ill patients in Iran, a comprehensive overview and scientific study has not been conducted to determine their challenges.
Therefore, in this study, scientific evidences and other relevant documents were reviewed to capture the challenges of caregivers of patients with mental health problems in the Iranian context. Materials and Methods This is a narrative review study using a matrix approach in A review study includes a summary of previous findings in the literature review of research on a particular topic. A systematic method of review is needed for these texts to be used with full performance to overcome this challenge. Therefore, we used the matrix method  to achieve the study objectives. Initially, a team consisting Wab camsax nursing faculty members of Isfahan University of Medical Sciences, Iran and a librarian were arranged.
Literature search was carried out by the principal author M. The extracted documents were reviewed by other researchers independently to include relevant and appropriate documents in the study. A librarian helped in literature search. Finally, published documents i. Retrieved articles were screened based on the inclusion and exclusion criteria. Inclusion criteria in this study included national studies exploring the challenges of family caregivers of patients with mental health disorders. Participants were family caregivers of patients with mental health disorders of all ages. Both quantitative and qualitative studies were included in the study. Exclusion Looking for a frienship and possibly more in bojnurd included editorial and review articles, book chapters, preliminary or pilot studies, and studies with the primary focus on the patient and not family caregivers.
Studies with relevant titles and abstracts were included in the analysis. Relevant articles were then subjected to critical appraisal which involved assessing the methods and results sections to find their strengths and weaknesses as well as their relevance to the review question. After applying inclusion and exclusion criteria, the reference lists of the selected articles were hand searched for related records, yielding a total of 39 articles for the final review [Figure 1]. Matrix pattern of step by step review Click here to view All retrieved articles were read several times by one author and reviewed by the second author to gain a deeper understanding of the studies.
Data were extracted based on the date of publication and sample setting. Core features of analysis were a whether the study focused specifically on the challenge or problem in Iranian family caregiver of mental health disorders; b whether the study was aimed at the family caregiver or family or both; c outcome measures; d methods; e content; and f ; results. Then, based on common meanings and central issues of these findings, they were organized and integrated as categories and themes. Ethical considerations Ethical approval for this study was obtained from Isfahan University of Medical Sciences, Isfahan Iran ethical approval code: The included studies were checked to ensure respecting the participants' consent.
Results Of the 39 included studies, 3 were conducted before10 from toand 26 from to February Of these, 21 studies were conducted in a cross-sectional manner in 12 provinces of Iran using convenience sampling with samples. Ten articles were conducted using an interventional mode with participants and 8 adopted a qualitative approach with caregivers; their findings could explain the conditions of caregivers of patients with mental disorders. These studies used a variety of standard and researcher-developed tools. After completing the review process, the data were extracted as codes of topics relevant to the review question and were qualitatively categorized by the research team members to find main themes.
The challenges of family caregivers of PPs in Iran were specified as a not meeting the needs of caregivers, b burnout and high burden of care, c high social stigma, d low social support for caregivers, and e low quality of life of caregivers. Not meeting the needs of caregivers One of the main challenges for family caregivers of PPs is not meeting their needs. One hundred six contents were extracted from the statements of family caregivers of PPs and classified in five main themes — illness management, consulting, economic needs, continuous care, and attention and understanding of the society. Thus, educational, economic, and moral supports were among the most important unmet needs of these caregivers.
Therefore, identifying and meeting the needs of the family caregivers of PPs help the mental health care team apply proper care interventions to help caregivers and help them in their care. Burnout and high care burden Another important challenge of family caregivers of PPs in Iran is burnout and high care burden. In the study by Navidian et al. General health score of caregivers of single patients was lower than the score of caregivers of married patients, and caregivers of employed patients had better mental health In data analysis, six main themes —living hell, psychological burnout, self-neglect, need for support, condemned to isolation, and shame — were extracted.
All participants reported feelings of sadness, internal suffering, lack of joy, despair, and emptiness in their experiences. High social stigma Stigma is considered as one of the major challenges of caregivers. Low social support for caregivers Social support for caregivers of patients with mental disorders can be evaluated in four areas, including social support, information support, moral support, and support for family caregivers of war veterans. Social support One of the very important issues and important responsibilities of all members of society is social support of these caregivers because studies show that the social support for this group is low. In other words, these caregivers have insufficient information about self-care and patients.
Family psycho-education increases expressiveness, mental state, and family solidarity, but it does not change the conflict component. Manuscript must be accompanied by a covering letter to the editor— in- chief, including title and author s name and undertaking that it has not been published or submitted elsewhere. In case the manuscript had been submitted to some other journals and rejected, the authors must provide complete information for proper analysis. Manuscript should be typed in double space on one side of the A4 size paper with clear margins on both sides. Tables as well as illustrations should be typed and drawn on a separate paper.
Do not submit tables as photographs. In case of electronic submission of the manuscript the authors must declare that it is being exclusively contributed to Journal of North Khorasan University of Medical Sciences. The text should be submitted in Microsoft Word format as an attachment.
Submission is also acceptable via journal URL: The manuscript should include: It should be structured as Background, Methods, Results and Conclusion followed by 3 to 5 keywords. Keywords will assist indexers in cross indexing the article as they are published with abstract. It should neither review the subject extensively nor should possiblg include data or conclusions of the study. This should include exact method or morf or experiment. If the method is established, give reference but if the method is new, give enough foe so that another Looking for a frienship and possibly more in bojnurd is able to perform it. If a drug is used, its generic name, dose and route of administration must be given.
For patients, age, sex with mean age standard deviation must be given. Statistical method must be mentioned and specify any general computer programs used. The info system used should be clearly mentioned. It must be presented in the form of text, tables and illustrations. The contents of the tables should not be all repeated in the text. Instead, a reference to the table number may be given. Long articles may need sub — headings within some sections especially the Results and Discussion parts to clarify their contents. The detailed data should not be repeated in the discussion again. Emphasize the new and important aspects of the study and the conclusions that follow from them. It must be mentioned whether the hypothesis mentioned in the article is true, false or no conclusions can be derived.
It should include persons who provided technical help, writing assistance and departmental head who only provided general support. Financial and material support should also be acknowledged. Do not submit tables as photograph. Place explanatory matters in footnotes, not in the heading. The captions should be placed below. The same data should not be presented in tables, figures and text, simultaneously.