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The Effectiveness of Family-Center Care on Health Status, Caregiver Burden, Family Function among Bipolar Disorder Patient and Caregiver: An Experimental Study

Thursday, 15 July 2010

Hsiu-Ju Li, RN
Depatment of Nursing, Taipei Veteran General Hospital, Taipei, Taiwan
Li-Chi Chiang, RN, PhD
School of Nursing, School of Nursing, National Defense Medical Center, Taipei, Taiwan

Learning Objective 1: The learner will be able to understanding the effectiveness of FCC in family function, caregivers’ burden and perceived health status among caregivers with bipolar patients.

Learning Objective 2: The learner will know how to use CFAM and CFIM to assess and care the families and patients with bipolar disease in psychiatric acute ward.

Bipolar disorder is one of the most severe chronic psychiatric diseases and is a highly recurrent and debilitating disease. It is a crucial care problem, because patients’ mood shift between mania and depression, and appear violence and suicide behaviors. Caregivers of patients with bipolar disease have heavy burden and high expressed emotion, including critique, hostile, or over-involved attitudes. Family-focused treatment has some good results in prevention bipolar disease relapse.

Purpose:  Incorporating family-centered care (FCC) into the psychiatric units that support the medical team to include the family in care plan. The purpose of this study is to evaluate the effectiveness of FCC in family function, caregivers’ burden and perceived health status among caregivers with bipolar patients. Methods: Calgary Family Assessment Model and the Calgary Family Intervention Model were used to assess and care the families and patients with bipolar disease. Four times 60-90 minutes in-depth interview will be conduced to providing the communication skill enhancement, problem-solving skills, and emotional self-regulation to avoid the family conflict.
Results: Descriptive statistics were calculated for the family function, caregivers’ burden and perceived health status, as well as for the demographic variables. Separate statistical models were run for patients and caregivers. Paired t-tests and chi-square test were used to compare demographic variables by group. Pearson’s product moment correlation were calculated to understanding the correlation between family function, caregivers’ burden and perceived health status, Mixed Model repeat measurement was used to compare the differences between baseline data and data gathered after FCC in the experimental group and comparison group. Statistical significance was set at α < 0.05.

Conclusion: Based on the results, it will provide the more holistic family nursing care model in psychiatric setting.

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