بررسي مشكلات و ميزان تمايل خانواده جهت پذيرش و نگهداري بيماران رواني در منزل پس از ترخيص از بيمارستان هاي روانپزشكي شهرستان مشهد

Assessing family problems and the rate of their tendency to admitting and keeping mentally - ill patients at home after discharging from Mashhad hospitals (1380-1382)

Introduction: The assessment of the remaining documents shows that phenomenon of mentally ill patients has existed since the beginning of the creation of mankind. The attitude and reaction of the society toward this fact has been under permanent change. The prevalence rate of mental problems and their hazardous effects on individuals, families and the society is increasing with growth of population and the urban life. No ethnic or nation has had an effective resistance against being attacked by these disorders. In regard to the importance of familiesʹ participation in care & rehabilitation of mentally ill patients as a key in successful treatment all over the world, more attention should be paid to it. Method and Material: This research is a descriptive study. The purpose of this study was to determine possible factors that could influence patientsʹ acceptance by their families after discharging from Hospitals in Mashhad. The study samples (658 patients) were randomly chosen and Data were collected in 658 patientsʹ families whose patients discharged from hospital during 1380-1382.Their families interviewed by structured questionnaires. One-way ANOVA and Chi-square were used for information analysis. Results: Findings of the research showed that 23.9 % of the families had "high" tendency for accepting the patient at home, the other 53.8% had "medium" tendency and the remaining 22.3% had no tendency for supporting and keeping patients. The results of this study indicates that there is a significant correlation between familyʹs knowledge of appropriate behavior with patient and their tendency to accepting himlher (p-01000) and also between the rate of familyʹs satisfaction of state contributions & hospital aids and their tendency to that acceptance (p=0/02).There is also a significant correlation between the following items and the rate of familyʹs tendency to the acceptance of the patient at home: •The type of family supporting •The patientsʹ relationship with their family members & familyʹs supports •The signs of illness •The degree of their ability in doing house affairs •The type of family reactions to the patientʹs illness signs •Level of education (family & patient) •Patientʹs income & occupation Conclusion: Research shows that family problems can have serious effects on accepting the patient for living in the family nest. This fact consequently affects mental health community, so experts should carefully evaluate familiesʹ psychopathology during treatment & rehabilitation of patients. In addition, results showed that in order to increase patientsʹ security and acceptance in families, mental health facilities in the community and community mental health councils are essential.