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Research Article CODEN: IJPRNK ISSN: 2277-8713 Vasanth Kumar Kasturi, IJPRBS, 2015; Volume 4(2): 263-271 IJPRBS Available Online at www.ijprbs.com 263 A STUDY TO ASSESS THE STRESS AND COPING AMONG CAREGIVERS OF MENTALLY ILL PATIENTS IN SVRRGGH, TIRUPATI. VASANTH KUMAR KASTURI, BHAGYALAKSHMI M, HEMALATHA S Department of Psychiatric (Mental Health) Nursing, College of Nursing, SVIMS, Tirupati, Andhra Pradesh Accepted Date: 09/04/2015; Published Date: 27/04/2015 Abstract: Introduction: Care of mentally ill patients is an enduring stress and leads to considerable amount of stress among caregivers. Little is known about the ways in which caregivers cope while caring for a relative with mental illness in developing countries. Aim: The aim of the present study was to assess the stress and coping among caregivers of mentally ill patients in SVRRGGH, Tirupati. Method: the stress was measured my Cohen perceived stress scale and coping was measured by brief cope scale. Results: A total number of 100 samples was taken for study, among 24 % had mild stress levels, majority 52% had moderate stress levels and 24% had severe stress levels , for coping levels among 100 caregivers, 24% had inadequate, 52% had adequate, 24% had adequate respectively. There was a statistical significant relationship between stress with caregivers variables like Education, Residence, and Relationship to patient at p<0.01, Occupation and Income at p<0.05 Level. There was a statistical significant relationship between coping with caregivers variables like Marital status, Education, Occupation, Residence, Monthly and Income at p<0.01, Age in years and Relationship to patient at p<0.05 Level. Moreover there was a high negative correlation between stress and coping i.e. -0.82 and correlation was significant at the p<0.01 level. It is concluded that: Caregivers experienced 24% of High stress levels and 24% were inadequate coping levels. Recommendation: Psycho educational program is needed to assist caregivers cope successfully with stress resulting from the care of mentally ill patients. Keywords: Stress, Coping, Mentally ill. INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH AND BIO-SCIENCE PAPER-QR CODE Corresponding Author: MR. VASANTH KUMAR KASTURI Access Online On: www.ijprbs.com How to Cite This Article: Vasanth Kumar Kasturi, IJPRBS, 2015; Volume 4(2): 263-271
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  • Research Article CODEN: IJPRNK ISSN: 2277-8713 Vasanth Kumar Kasturi, IJPRBS, 2015; Volume 4(2): 263-271 IJPRBS

    Available Online at www.ijprbs.com 263

    A STUDY TO ASSESS THE STRESS AND COPING AMONG CAREGIVERS OF

    MENTALLY ILL PATIENTS IN SVRRGGH, TIRUPATI.

    VASANTH KUMAR KASTURI, BHAGYALAKSHMI M, HEMALATHA S

    Department of Psychiatric (Mental Health) Nursing, College of Nursing, SVIMS, Tirupati, Andhra Pradesh

    Accepted Date: 09/04/2015; Published Date: 27/04/2015

    Abstract: Introduction: Care of mentally ill patients is an enduring stress and leads to considerable

    amount of stress among caregivers. Little is known about the ways in which caregivers cope while

    caring for a relative with mental illness in developing countries. Aim: The aim of the present study was

    to assess the stress and coping among caregivers of mentally ill patients in SVRRGGH, Tirupati. Method:

    the stress was measured my Cohen perceived stress scale and coping was measured by brief cope scale.

    Results: A total number of 100 samples was taken for study, among 24 % had mild stress levels,

    majority 52% had moderate stress levels and 24% had severe stress levels , for coping levels among 100

    caregivers, 24% had inadequate, 52% had adequate, 24% had adequate respectively. There was a

    statistical significant relationship between stress with caregivers variables like Education, Residence,

    and Relationship to patient at p

  • Research Article CODEN: IJPRNK ISSN: 2277-8713 Vasanth Kumar Kasturi, IJPRBS, 2015; Volume 4(2): 263-271 IJPRBS

    Available Online at www.ijprbs.com 264

    INTRODUCTION

    Mental illness can be defined as a clinical, significant, behavioral or psychological syndrome

    that occurs in a person and this is normally associated with impairment in one or more

    important areas in functioning, or an important loss of freedom.1 The society views the mental

    illness as something to be ashamed of and usually the members of the society initially recognize

    most of the mentally ill patients behavior deviated from the social norms.2

    In such a stage the families play an important role in caring of these mentally ill patients even

    though the family members of the mentally ill patients are less likely to label the individuals

    behavior as mental illness. The core concept of the care giving consists of accepting the patient,

    encouraging and supporting the patient and assist in the daily activities of the patient.3

    Caregiver is an individual who has the responsibility of meeting the physical and psychological

    needs of the dependent patient. Psychiatric patients need assistance or supervision in their

    daily activities and this often places a major burden on their caregivers, thereby placing the

    caregiver at a great risk of mental and physical health problems. The diagnosis of a person with

    a mental illness makes the care givers initially denial, which is sometimes expressed by anger

    and they are looking for a lot of coping methods to cope and adjust with these situations.

    Coping with stress is one of the biggest health concerns and its effect can be different from one

    person to another. Stress is primarily a process of motivation since it requires some sort of

    adaptation (coping) to the demand or set of demands. The effect of stress is directly linked to

    coping.4

    Stress is an organism’s total response to environmental demands or pressure. The cause of

    stress can include any event or occurrence that a person considers a threat to his or her coping

    strategies or resources and coping is a complex process. It is variously described as a situational

    and as a trait-like response to stress and as a disposition to respond to change.5

    A study was conducted in religious practices by chronic mentally ill patient and their care givers

    they are living in south India. Persons with mental illness and their care givers were interviewed

    at religious sites using a guided questionnaire. The result of the study shows that-seeking

    religious help for mental illness is often a first and common step in which most of the care

    givers are adopting to cope with the burden.6

    A study was conducted in USA to find out the associated stages with adaptive use of coping

    methods by Primary Care Givers total of 225 Primary care givers of mentally ill patients were

    participated in the study. The result of the study highlighted that more extensive adaptive

    coping was associated with increased social support (as measured by the density of the social

    network) and with a greater sense of self efficiency in dealing with the illness of the patient.7

  • Research Article CODEN: IJPRNK ISSN: 2277-8713 Vasanth Kumar Kasturi, IJPRBS, 2015; Volume 4(2): 263-271 IJPRBS

    Available Online at www.ijprbs.com 265

    OBJECTIVES

    To assess the level of stress and Coping among caregivers of mentally ill patients

    To assess the level of Coping among caregivers of mentally ill patients

    To associate the level of stress and coping among caregivers of mentally ill patients with

    selected demographic variables.

    To correlate the relationship between level of stress and coping among caregivers of

    mentally ill patients.

    Materials and methods:

    Research approach: Quantitative research approach was adopted for the present study.

    Research design: cross sectional descriptive research design was adopted for the study.

    Variables of the study:

    Independent variable: Mentally ill Patients

    Dependent variables: Stress and Coping of caregivers

    Extraneous Variables: Age, Gender, Occupation, Education, Income, etc.

    Setting: The study was conducted at psychiatry ward, SVRRGGH, Tirupati. The reason for

    selected this hospital for the study because, this is the only one Government district hospital

    though out this Rayalaseema area. Moreover, daily 50 to 60 outpatients come for checkup

    daily. The setting was chosen on the basis of investigator feasibility in terms of availability of

    required sample and cooperation extended by the management and health personnel.

    Population: The population includes caregivers of mentally ill patients

    Sample: Caregivers of mentally ill patients

    Sample Size: consists of 100 caregivers who fall under inclusion criteria.

    Sampling technique: As the selection of samples depends on availability of the sample, a

    convenient sampling technique was adopted based on inclusion criteria. Description of the

    research tool

    Development and description of the tool:

  • Research Article CODEN: IJPRNK ISSN: 2277-8713 Vasanth Kumar Kasturi, IJPRBS, 2015; Volume 4(2): 263-271 IJPRBS

    Available Online at www.ijprbs.com 266

    The tool was developed with the help of related literature from various text books, journals,

    web sites, discussion and guidance from the experts in the field of nursing and psychiatric

    nursing.

    The tool consists of 3 sections.

    Section-I: consists of questions to collect demographic data.

    Section II: Cohen Perceived Stress

    Section-III: Brief Coping

    Plan for data analysis:

    Analysis of data was done by using descriptive and inferential statistics.

    Descriptive statistics were used to find out:

    Frequency, Percentage, Mean, Standard Deviation

    Inferential statistics were used to find out:

    Chi-square, Correlation

    Results:

    Level of Stress among Caregivers of mentally ill patients

    The above Fig-1 illustrate that among 100 Caregivers 24% had mild stress, 52% had moderate

    stress and 24% had severe stress levels

    [VALUE]%

    [VALUE]%

    [VALUE]%

    0 10 20 30 40 50 60

    Inadequate Stress

    Moderate Stress

    Adequate Stress

    Stress Levels

  • Research Article CODEN: IJPRNK ISSN: 2277-8713 Vasanth Kumar Kasturi, IJPRBS, 2015; Volume 4(2): 263-271 IJPRBS

    Available Online at www.ijprbs.com 267

    Level of Coping among Caregivers of mentally ill patients

    The above Fig-2 Depicts that among 100 Caregivers 24% had mild coping, 52% had moderate

    coping and 24% had severe stress coping

    Table 1. Frequency and percentage distribution of association between the caregiver’s

    demographic variables and stress levels of caregivers of mentally ill patients

    Areas of Stress (Demographic Variables)

    n

    Mean

    SD

    df

    X2

    p

    Education Illiterate Primary Education Secondary Education Intermediate Graduate Post Graduate

    35 17 23 09 15 1

    58.43 43.24 41.30 36.39 22.83 25.00

    25.140 18.849 25.438 27.218 19.818 26.188

    10

    28.000

    0.002**

    Occupation Home Maker Unemployee Coolie Private Employee Government Employee Retired Others

    10 3 33 14 5 1 34

    43.50 20.83 56.29 29.11 29.50 75.00 42.35

    26.066 5.774 25.040 26.010 31.245 22.796 26.188

    12

    24.879

    0.015*

    Residence Rural Urban

    67 33

    52.35 27.80

    25.428 19.282

    2

    14.414

    0.001**

    24%

    52%

    24%

    0

    20

    40

    60

    Coping Levels

    Inadequate Coping Moderate Coping Adequate Coping

  • Research Article CODEN: IJPRNK ISSN: 2277-8713 Vasanth Kumar Kasturi, IJPRBS, 2015; Volume 4(2): 263-271 IJPRBS

    Available Online at www.ijprbs.com 268

    Monthly Income 10000

    22 28 41 9

    37.27 57.41 41.40 33.33

    22.677 23.079 26.328 30.949

    6

    15.071

    0.020*

    Relationship to Patient Spouse Parent Children Sister Brother Others

    39 30 10 8 6 7

    39.94 54.17 57.25 25.94 24.58 45.00

    21.077 25.859 33.280 16.143 27.451 30.788

    10

    29.566

    0.001**

    Table 1. Depicts that there was a statistical significant association between some of the

    demographic variables and Stress Levels like Education, Residence, and Relationship to patient

    at p

  • Research Article CODEN: IJPRNK ISSN: 2277-8713 Vasanth Kumar Kasturi, IJPRBS, 2015; Volume 4(2): 263-271 IJPRBS

    Available Online at www.ijprbs.com 269

    Table 3 depicts Stress Mean and Standard Deviation values was, 44.25 and 26.188. Coping

    Mean and Standard Deviation values was, 56.30 and 20.400 respectively. There was statistically

    High Significant Negative Correlation (r= -0.823), (p

  • Research Article CODEN: IJPRNK ISSN: 2277-8713 Vasanth Kumar Kasturi, IJPRBS, 2015; Volume 4(2): 263-271 IJPRBS

    Available Online at www.ijprbs.com 270

    The third objective of the study was to associate the level of stress and coping among

    caregivers of mentally ill patients with selected demographic variables. Related to stress, there

    was a statistical significant association between some of the demographic variables and Stress

    Levels like Education, Residence, and Relationship to patient at p

  • Research Article CODEN: IJPRNK ISSN: 2277-8713 Vasanth Kumar Kasturi, IJPRBS, 2015; Volume 4(2): 263-271 IJPRBS

    Available Online at www.ijprbs.com 271

    strategies for caregivers of mentally ill patients, other professionals are recommended to

    reduce stress level and a better coping strategies for the caregivers and community at large

    REFERENCE

    1. Denise.F. Polit and Cheryl Tatano Beck, (2004 ) “Nursing Research” Lippincott Willians and

    Wilkins, Philadelphia, 7th edition, P .No.587,661

    2. Jugbauer.J (2006) “Stress of family care givers of psychiatric patients” Abstract retrieved

    from pub med database on 17.12,10 PMID: 11407252.

    3. Kaplan HI and Sedock BJ, (2000), “Comprehensive text book of Psychiatry”, Lippincott

    Williams and Wilkins, Philadelphia, 7th edition, P .No.2587-2613.

    4. Stress and coping, by Fumi O. Naughton (spring 1997), California State University,

    Northridge.

    5. Larry E. Beutler, Rudolf H. Moos (2003), ‘Coping and coping styles in personality and

    treatment planning: Introduction to the special series’. Journal of Clinical Psychology, 59 (10):

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    6. Lefley HP (2007) “Aging parents as caregivers of mentally ill adult children: an emerging

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    9. Binil V .A correlative study of burden and coping strategies among the caregivers of patients

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    10. Clare. C. Pratt, et al. Burden and coping strategies of caregivers of Alzheimer’s patients, Vol.

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    11. Rammohan A, Rao K, Subbakrishna DK. Burden and coping in caregivers of person with

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    http://www.ncbi.nlm.nih.gov/pubmed?term=%22Lefley%20HP%22%5BAuthor%5Dhttp://www.amazon.com/http://dysphrenia.hpage.co.in/a_descriptive_study_to_assess_the_level_of_stress_among_family_members_of_selected_mentally_ill_clients_attending_psychiatry_opd_of_a_tertiary_care_teaching_hospital_99184934.htmlhttp://dysphrenia.hpage.co.in/a_descriptive_study_to_assess_the_level_of_stress_among_family_members_of_selected_mentally_ill_clients_attending_psychiatry_opd_of_a_tertiary_care_teaching_hospital_99184934.htmlhttp://dysphrenia.hpage.co.in/a_descriptive_study_to_assess_the_level_of_stress_among_family_members_of_selected_mentally_ill_clients_attending_psychiatry_opd_of_a_tertiary_care_teaching_hospital_99184934.htmlhttp://www.jstor.org/stable/10.2307/i224685http://www.jstor.org/stable/10.2307/i224685