Gülsüm Zekiye TUNCER, Zekiye ÇETİNKAYA DUMAN

Kronik Ruhsal Bozukluğu Olan Bireylerin Gereksinimleri: Sistematik Derleme

Bu sistematik derleme, kronik ruhsal bozukluğu olan bireylerin gereksinimleri ve etkileyen faktörleri saptayan son on yıl içindeki araştırmaları değerlendirmek amacıyla yapılmıştır. Sistematik derlemenin literatür taraması “Pubmed”, “Google Scholar”, “Science Direct”, “Medline”, “Ebsco” “Cochrane” veri tabanlarında İngilizce ve Türkçe anahtar kelimeler kullanılarak yapılmıştır. İncelenen literatür sonucunda 2008 ve 2018 yılları arasında, kronik ruhsal bozukluğu olan bireyler ile yapılmış olan 20 çalışma derlemeye dahil edilmiştir. İncelenen araştırmaların 19’u tanımlayıcı, biri ise randomize kontrollü deneysel çalışmadır. İncelemeye alınan çalışmaların örneklem büyüklüğü 35 ve 588 aralığındadır. Hastaların sosyal ve yakın ilişkiler, fiziksel sağlık durumu, hastalık durumu ve tedavi hakkında bilgi, gündüz aktiviteleri, psikolojik sıkıntı gibi psikososyal gereksinimlerinin çoğunlukla karşılanmadığı bulunmuştur. Hasta bireylerin gereksinimlerinin yaş, cinsiyet, etnik köken, hastalık tanısı, hastalık süresi ve yatış sayısı gibi sosyo-demografik özelliklerden etkilendiği saptanmıştır. Ayrıca hastaların gereksinimlerinin sosyo-ekonomik durum ile işlevsellik ve semptom şiddeti gibi değişkelerden etkilendiği bulunmuştur. Bu sistematik derlemede, hastaların bir çok alanda gereksinimi olduğu ve sosyo-demografik ve ekonomik faktörlerin, hastalık özelliklerinin gereksinimleri etkilediği görülmektedir. Kronik ruhsal bozukluğu olan bireylerin gereksinimlerini karşılamaya yönelik müdahalelerin planlanması ve uygulanması, bireylerin toplumda yaşamını sürdürebilmesi için önemlidir.

Anahtar Kelimeler:

kronik ruhsal bozukluk, gereksinim, gereksinim değerlendirme

Needs of Individuals with Chronic Mental Disorder: A Systematic Review

This systematic review was undertaken to assess the needs of individuals with chronic mental illness and the investigations in the last decade that have identified the factors that affected them. The systematic review of the literature was conducted using the keywords "Pubmed", "Google Scholar", "Science Direct", "Medline", "Ebsco", "Cochrane". The studies were evaluated within the inclusion and exclusion criteria. As a result of the literature reviewed, between 2008 and 2018, 20 studies with patients with chronic mental disorders were included in the review. Nineteen of the investigated studies are descriptive and one is randomized controlled experimental work. The sample size of the studies studied is between 35 and 588. Psychosocial needs such as social and close relationships, physical health status, disease status and treatment information, daytime activities and psychological distress were mostly unmet. It was determined that the needs of the patients were affected by socio-demographic characteristics such as age, gender, ethnicity, disease diagnosis, disease duration and number of hospitalizations. In addition, it was found that the needs of patients were affected by socio-economic status and functionality and symptom severity. In this systematic review, it is seen that patients need many areas and socio-demographic and economic factors and disease characteristics affect the require-ments. The planning and implementation of interventions to meet the needs of individuals with chronic mental disorders is important for the survival of individuals in community.

Keywords:

Chronic mental disorder, need, need assessment,

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Arnold K, Loos S, Mayer B ve ark. (2017) Helping alliance and unmet needs in routine care of people with severe mental illness across Europe: a prospective longitudinal multicenter study. The Journal of nervous and mental disease 205(4):329-333.
Arvidsson H (2008) The development of needs in a group of severely mentally ill. Social Psychiatry and Psychiatric Epidemiology, 43(9):705-713.
Bitter NA, Roeg DP, van Nieuwenhuizen C ve ark. (2016) Identifying profiles of service users in housing services and exploring their quality of life and care needs. BMC Psychiatry, 16(1):419-430.
Broadbent E, Kydd R, Sanders D ve ark. (2008) Unmet needs and treatment seeking in high users of mental health services: role of illness perceptions. Australian & New Zealand Journal of Psychiatry, 42(2):147-153.
Bruce M, Gwaspari M, Cobb D ve ark. (2012) Ethnic differences in reported unmet needs among male inpatients with severe mental illness. Journal of Psychiatric and Mental Health Nursing, 19(9):830-838.
Caqueo-Urízar A, Boyer L, Gilman SE (2017) Needs of patients with schizophrenia among an ethnic minority group in latin america. Journal of İmmigrant and Minority Health, 19(3):606-615.
Cialkowska-Kuzminska M, Misiak B, Kiejna A (2014) Patients’ and carers’ perception of needs in a Polish sample. International Journal of Social Psychiatry, 60(2):178-184.
Ernest S, Nagarajan G, Jacob KS (2013) Assessment of need of patients with schizophrenia: A study in Vellore, India. International Journal of Social Psychiatry, 59(8):752-756.
Grinshpoon A, Ponizovsky AM (2008) The relationships between need profiles, clinical symptoms, functioning and the well‐being of inpatients with severe mental disorders. Journal of Evaluation in Clinical Practice, 14(2):218-225.
Guillén Andrés IA, Munoz Lopez M (2011) Variables related to psychosocial needs among people with severe mental illness using community services and their informal caregivers. Anuario de Psicología Clínica y de la Salud Annuary of Clinical and Health Psycholog, 7:15-23.
Guzman-Parra J, Moreno-Küstner B, Rivas F, Alba-Vallejo M, Hernandez-Pedrosa J, Mayoral-Cleries F (2018) Needs, Perceived Support, and Hospital Readmissions in Patients with Severe Mental Illness. Community Mental Health Journal, 54(2):189-196.
Gwaspari M, Hochhauser S, Bruce M (2011) Unmet needs and antisocial personality disorder among Black African and Caribbean service users with severe mental illness. Ethnicity and Inequalities in Health and Social Care, 4(1):38-48.
Hancock N, Smith-Merry J, Gillespie JA, Yen I (2017) Is the Partners in Recovery program connecting with the intended population of people living with severe and persistent mental illness? What are their prioritised needs?. Australian Health Review, 41(5):566-572.
Howard LM, Hunt K (2008) The needs of mothers with severe mental illness: a comparison of assessments of needs by staff and patients. Archives of Women's Mental Health, 11(2):131-136.
Hansson L, Sandlund M, Bengtsson-Tops A, Bjarnason O, Karlsson H, Mackeprang T et al. (2003) The relationship of needs and quality of life in persons with schizophrenia living in the community. A Nordic multi-center study. Nordic Journal of Psychiatry, 57(1): 5-11.
Joska J, Flisher AJ (2005) The assessment of need for mental health services. Social Psychiatry and Psychiatric Epidemiology, 40(7); 529-539.
Lasalvia A, Boggian I, Bonetto C, Saggioro V, Piccione G, Zanoni C et al. (2012) Multiple perspectives on mental health outcome: needs for care and service satisfaction assessed by staff, patients and family members. Social Psychiatry and Psychiatric Epidemiology, 47(7):1035-1045.
Maslow A (2001) İnsan Olmanın Psikolojisi (Çeviri Ed.: O Gündüz). İstanbul, Kuraldışı Yayıncılık.Neogi R, Chakrabarti S, Grover S (2016) Health-care needs of remitted patients with bipolar disorder: A comparison with schizophrenia. World Journal of Psychiatry, 6(4):431-441.
Olivas F, Muray E, Crespo M (2013) Evaluation of needs among patients with severe mental illness. A community study. Actas Esp Psiquiatr, 41(2):115-121.
Phelan M, Slade M, Thornicroft G Dunn G, Holloway F, Wykes T et al. (1995) The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness. The British Journal of Psychiatry, 167(5):589-595.
Prisma Systematic Reviews Protocol (2018). http://www.prisma-statement.org/Protocols/Registration. Accessed date: 10.08.2018.
Werner S (2012) Needs assessment of individuals with serious mental illness: Can it help in promoting recovery?. Community Mental Health Journal, 48(5):568-573.
Wiersma D, van den Brink R, Wolters K McCabe R, Bullenkamp J, Hansson L et al. (2009) Individual unmet needs for care: are they sensitive as outcome criterion for the effectiveness of mental health services interventions?. Social Psychiatry and Psychiatric Epidemiology, 44(4):317-324.
Yeh LL, Liu, SK, Hwu HG (2011) Needs and demands for community psychiatric rehabilitation programs from the perspectives of patients and caregivers. Community Mental Health Journal, 47(4):415-423.