Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center

Altan Sarıkaya, Nihan; öz, sevcan; ÖZTÜRK KAYGAN, SELDA

doi:10.14744/phd.2021.08379

Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center

Selda ÖZTÜRK, (Trakya Üniversitesi, Sağlık Bilimleri Fakültesi, Ruh Sağlığı ve Psikiyatri Hemşireliği Anabilim Dalı, Edirne, Türkiye)

Nihan ALTAN SARIKAYA, (Trakya Üniversitesi, Sağlık Bilimleri Fakültesi, Ruh Sağlığı ve Psikiyatri Hemşireliği Anabilim Dalı, Edirne, Türkiye)

Sevcan ÖZ (Ege Üniversitesi, Hemşirelik Fakültesi, Ruh Sağlığı ve Psikiyatri Hemşireliği Anabilim Dalı, İzmir, Türkiye)

Psikiyatri Hemşireliği Dergisi

3 0

Yıl: 2021 Cilt: 12 Sayı: 1 Sayfa Aralığı: 1 - 8 Metin Dili: İngilizce DOI: 10.14744/phd.2021.08379 İndeks Tarihi: 10-05-2021

Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center

Öz:

Objectives: This study was aimed to investigate the disability, social functioning and subjective recovery of patientswho have been followed up and do not followed up in the Community Mental Health Center (CMHC).Methods: This cross-sectional and descriptive research was conducted with patients who have been followed up inCMHC (n=19) and do not followed up in CMHC (n=19) in between dates of June-August 2018. Questionnaire form, SocialFunctioning Assessment Scale (SFAS) and Subjective Recovery Assessment Scale (SubRAS) were used for data collection.Data were analysed by the use of Independent-Samples t test, Chi-Square test and Spearman correlation Analysis.Results: There was no statistical significance between the patients who followed up CMHC and do not followed upCMHC. It was determined that patients who followed up in CMHC had less disability, better functioning and subjectivefeeling of recovery. It was determined that as age of onset and income increased, the social functioning of the patientsalso increased (p=0.031, p=0.032, respectively). Significant negative correlation were found between SFAS and WHODAS-II (p=0.045) and positive correlation between SFAS and WHO-DAS-II total score (p=0.020). Significant negativecorrelations were found between WHO-DAS-II and SubRAS total score (p=0.002).Conclusion: There was no significant difference between disability, social functioning and subjective feeling of recovery of patients who followed up in CMHC and do not followed up in CMHC.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Çiçekoğlu P, Duran S. Dünyada ve Türkiye’de toplum temelli koruyucu ruh sağlığı hizmetleri. Ünsal Barlas G, editor. Toplum Ruh Sağlığı Hemşireliği. 1st ed. Ankara: Türkiye Klinikleri; 2018. p. 8–14.
2. Erkoç Y, Çom S, Torunoğlu MA, Alataş G, Kahiloğulları AK. T.C. Sağlık Bakanlığı Ulusal Ruh Sağlığı Eylem Planı (2011-2023). Ankara, T.C. Sağlık Bakanlığı Yayınları. Yayın No: 847:33–4. Available at: https://dosyamerkez.saglik.gov.tr/Eklenti/30333,ulusal-ruh-sagligi-eylem-planipdf.pdf?0. Retrieved May, 2019.
3. Eren HK. Ruh Sağlığına Yönelik Dünya’daki ve Türkiye’deki Mevcut Uygulamalar. Gürhan N, editör. Ruh sağlığı ve psikiyatri hemşireliği. Ankara: Nobel Tıp Kitabevleri; 2016. p. 844– 70.
4. Üstün G, Küçük L, Buzlu S. Bir Toplum Ruh Sağlığı Merkezi’nde uygulanan rehabilitasyon programlarına katılan ve katılmayan şizofreni hastalarının bazı sosyodemografik ve hastalıkla ilişkili özellikleri ile tedaviye uyumları ve öz-yeterlilikleri açısından tanımlanması. J Psychiatric Nurs 2018;9:69–79,
5. Yıldız M. Ciddi ruhsal hastalıklarda ruhsal toplumsal tedaviler. Türkiye Klinikleri Journal of Psychiatry-Special Topics 2009;2:52–6.
6. Ensari H, Gültekin BK, Karaman D, Koç A, Beşkardeş AF.. Bolu Toplum Ruh Sağlığı Merkezi hizmetlerinin şizofreni hastalarındaki yaşam kalitesi, yeti yitimi, genel ve sosyal işlevsellik üzerine etkisi: Bir yıllık izleme sonuçları. Anadolu Psikiyatri Derg 2013;14:108–14.
7. Söğütlü L, Özen Ş, Varlık C, Güler A. Toplum ruh sağlığı merkezinde şizofreni hastalarına ruhsal toplumsal beceri eğitimi uygulanması ve sonuçları. Anadolu Psikiyatri Derg 2017;18:121–8.
8. Şahin Ş, Elboğa G. Toplum ruh sağlığı merkezinden yararlanan hastaların yaşam kalitesi, tıbbi tedaviye uyumu, içgörü ve işlevsellikleri. Cukurova Medical Journal 2019;44:431–8.
9. Rossi A, Amore M, Galderisi S, Rocca P, Bertolino A, Aguglia E, et al; Italian Network for Research on Psychoses. The complex relationship between self-reported 'personal recovery' and clinical recovery in schizophrenia. Schizophr Res 2018;192:108–12.
10. Çam O, Yalçıner N. Ruhsal Hastalık ve İyileşme. J Psychiatric Nurs 2018;9:55–60.
11. İpçi K, İncedere A, Kiras F, Yıldız M. Şizofreni hastalarında öznel iyileşme ile bilişsel içgörü arasındaki ilişkinin araştırılması. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 2018;4:1–4.
12. Drake RE, Whitley R. Recovery and severe mental illness: description and analysis. Can J Psychiatry 2014;59:236-42.
13. Eneman M, Vanhee L, Liessens D, Luyten P, Sabbe B, Corveleyn J. Humanistic psychiatry and psychotherapy: listening to patients as persons in search of meaning. the case of schizophrenia. Journal of Humanistic Psychology 2019;59:148–69.
14. Chiba R, Miyamoto Y, Kawakami N, Harada N. Effectiveness of a program to facilitate recovery for people with long-term mental illness in Japan. Nurs Health Sci 2014;16:277–83.
15. Knutson MB, Newberry S, Schaper A. Recovery education: a tool for psychiatric nurses. J Psychiatr Ment Health Nurs 2013;20:874–81.
16. Delice MA, Akgül SM, Yıldız M. Toplum Ruh Sağlığı Merkezi’nden hizmet alan bir Şizofrenili olguda bütüncül yaklaşımın hastalığın gidişine etkisi. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2014;4:122−5.
17. İçel S, Özkan B, Aydoğan A. Toplum ruh sağlığı merkezlerinde hemşirenin rolü. Ankara Medical Journal 2016;16:208–14.
18. Saruç S, Kılıç AK. Toplum ruh sağlığı merkezinden hizmet alan hastaların sosyal profili ve merkezde verilen hizmetler. Toplum ve Sosyal Hizmet 2015;26:53–71.
19. Duman ZÇ, Bademli K. Kronik psikiyatri hastalarının aileleri: sistematik bir inceleme. Psikiyatride Güncel Yaklaşımlar 2013;5:78–94.
20. Dikeç G, Kutlu Y. Ruhsal bozukluklarda tedavi uyumunu artırmak için bir yöntem: tedaviye uyum programı. J Psychiatric Nurs 2015;6:40–6.
21. WHO. WHO Disability Assessment Schedule-II (WHO-DAS-II). Available at: https://www.who.int/classifications/icf/whodasii/en/.
22. Uluğ B, Ertuğrul A, Gögüş A, Kabakçı, E. Yetiyitimi Değerlendirme Çizelgesinin (WHO-DAS-II) şizofreni hastalarında geçerlilik ve güvenilirliği. Turk Psikiyatr Derg 2001;12:121–30.
23. Yıldız M, Kiras F, İncedere A, Esen D, Gürcan MB, Abut B, et al. Şizofreni hastaları için toplumsal işlevselliği değerlendirme ölçeğinin geliştirilmesi: geçerlilik ve güvenirlik çalışması. Anadolu Psikiyatri Dergisi 2019;20:29–38.
24. Yıldız M, Erim R, Soygür H, Tural U, Kiras F, Gules E. Development of the subjective recovery scale for the patients with schizophrenia. Psychiatry and Clinical Psychopharmacology 2018;28:163–9.
25. Özdamar K. SPSS ile Biyoistatistik. 9th ed. Nisan Kitabevi: Ankara; 2013.
26. Tabachnick BG, Fidell LS. Using multivariate statistics. 6th ed. Boston: Pearson; 2013.
27. Kayri M. Araştırmalarda gruplar arası farkın belirlenmesine yönelik çoklu karşılaştırma (post-hoc) teknikler. Fırat Üniversitesi Sosyal Bilimler Dergisi 2009;19:51–64.
28. Özdemir İ, Şafak Y, Örsel S, Karaoğlan Kahiloğulları A, Karadağ H. Bir toplum ruh sağlığı merkezinde şizofreni hastalarına uygulanan ruhsal-toplumsal uyumlandırma etkinliğinin araştırılması: kontrollü çalışma. Anadolu Psikiyatri Derg 2017;18:419–27.
29. Demirkol ME, Tamam L, Evlice YE, Karaytuğ MO. Psikiyatri hastalarının tedaviye uyumu. Cukurova Medical Journal 2015;40:555–68.
30. Morrison AP, Shryane N, Beck R, Heffernan S, Law H, McCusker M, et al. Psychosocial and neuropsychiatric predictors of subjective recovery from psychosis. Psychiatry Res 2013;208:203– 9.
31. Oorschot M, Lataster T, Thewissen V, Lardinois M, van Os J, Delespaul PA, et al. Symptomatic remission in psychosis and real-life functioning. Br J Psychiatry 2012;201:215–20.
32. Jaracz K, Górna K, Kiejda J, Grabowska-Fudala B, Jaracz J, Suwalska A, et al. Psychosocial functioning in relation to symptomatic remission: A longitudinal study of first episode schizophrenia. Eur Psychiatry 2015;30:907–13.
33. Wright A, Fowler D, Greenwood K. Influences on functional outcome and subjective recovery in individuals with and without First Episode Psychosis: A metacognitive model. Psychiatry Res 2020;284:112643.
34. İpçi K, Yildiz M, İncedere A, Kiras F, Esen D, Gürcan MB. Subjective Recovery in Patients with Schizophrenia and Related Factors. Community Ment Health J 2020;56:1180–7.
35. Temesgen WA, Chien WT, Bressington D. Factors influencing subjective recovery of people with recent-onset psychosis: A cross-sectional study in a low-income Sub-Saharan country. Psychiatry Res 2019;274:421–9.
36. Candan İE. Kronik şizofreni hastalarında bilişsel içgörü, yeti yitimi ve öznel iyileşmenin değerlendirilmesi. [Yayınlanmamış Yüksek Lisans Tezi] İstanbul: Marmara Üniversitesi Sağlık Bilimleri Enstitüsü; 2019.
37. Tütüncü R, Örsel S, Özbay MH. Bipolar bozukluk başlangıç yaşının klinik ve gidiş özellikleriyle ilişkisi. Klinik Psikiyatri Dergisi 2007;10:63–8.
38. van Liempt S, Dols A, Schouws S, Stek ML, Meesters PD. Comparison of social functioning in community-living older individuals with schizophrenia and bipolar disorder: a catchment area-based study. Int J Geriatr Psychiatry 2017;32:532–8.
39. Rosa AR, Reinares M, Franco C, Comes M, Torrent C, Sánchez-Moreno J, et al. Clinical predictors of functional outcome of bipolar patients in remission. Bipolar Disord 2009;11:401–9.
40. Wingo AP, Baldessarini RJ, Compton MT, Harvey PD. Correlates of recovery of social functioning in types I and II bipolar disorder patients. Psychiatry Res 2010;177:131–4.
41. Turan N. Şizofreni ve diğer psikotik bozukluklar. In: Gürhan N, editor. Ruh sağlığı ve psikiyatri hemşireliği. Ankara: Nobel Tıp Kitabevleri; 2016. p. 540–60.
42. Şirin B. Bir sağlık ocağına başvuran ruh sağlığı bozulmuş hastaların yaşam kalitesi ve sosyal işlevsellik durumunun değerlendirilmesi. [Yayınlanmamış Yüksek Lisans Tezi] İstanbul: Haliç Üniversitesi Sağlık Bilimleri Enstitüsü; 2008.
43. Kaya B. Depresyon: Sosyo-ekonomik ve kültürel pencereden bakış. Klinik Psikiyatri 2007;10(Suppl 6):11–20.

APA	ÖZTÜRK KAYGAN S, Altan Sarıkaya N, öz s (2021). Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center. , 1 - 8. 10.14744/phd.2021.08379
Chicago	ÖZTÜRK KAYGAN SELDA,Altan Sarıkaya Nihan,öz sevcan Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center. (2021): 1 - 8. 10.14744/phd.2021.08379
MLA	ÖZTÜRK KAYGAN SELDA,Altan Sarıkaya Nihan,öz sevcan Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center. , 2021, ss.1 - 8. 10.14744/phd.2021.08379
AMA	ÖZTÜRK KAYGAN S,Altan Sarıkaya N,öz s Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center. . 2021; 1 - 8. 10.14744/phd.2021.08379
Vancouver	ÖZTÜRK KAYGAN S,Altan Sarıkaya N,öz s Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center. . 2021; 1 - 8. 10.14744/phd.2021.08379
IEEE	ÖZTÜRK KAYGAN S,Altan Sarıkaya N,öz s "Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center." , ss.1 - 8, 2021. 10.14744/phd.2021.08379
ISNAD	ÖZTÜRK KAYGAN, SELDA vd. "Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center". (2021), 1-8. https://doi.org/10.14744/phd.2021.08379

APA	ÖZTÜRK KAYGAN S, Altan Sarıkaya N, öz s (2021). Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center. Psikiyatri Hemşireliği Dergisi, 12(1), 1 - 8. 10.14744/phd.2021.08379
Chicago	ÖZTÜRK KAYGAN SELDA,Altan Sarıkaya Nihan,öz sevcan Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center. Psikiyatri Hemşireliği Dergisi 12, no.1 (2021): 1 - 8. 10.14744/phd.2021.08379
MLA	ÖZTÜRK KAYGAN SELDA,Altan Sarıkaya Nihan,öz sevcan Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center. Psikiyatri Hemşireliği Dergisi, vol.12, no.1, 2021, ss.1 - 8. 10.14744/phd.2021.08379
AMA	ÖZTÜRK KAYGAN S,Altan Sarıkaya N,öz s Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center. Psikiyatri Hemşireliği Dergisi. 2021; 12(1): 1 - 8. 10.14744/phd.2021.08379
Vancouver	ÖZTÜRK KAYGAN S,Altan Sarıkaya N,öz s Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center. Psikiyatri Hemşireliği Dergisi. 2021; 12(1): 1 - 8. 10.14744/phd.2021.08379
IEEE	ÖZTÜRK KAYGAN S,Altan Sarıkaya N,öz s "Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center." Psikiyatri Hemşireliği Dergisi, 12, ss.1 - 8, 2021. 10.14744/phd.2021.08379
ISNAD	ÖZTÜRK KAYGAN, SELDA vd. "Comparison of disability and social functionality levels and subjective recovery perceptions of the patients received and did not receive service from community mental health center". Psikiyatri Hemşireliği Dergisi 12/1 (2021), 1-8. https://doi.org/10.14744/phd.2021.08379