Community Mental Health Nursing
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Browsing Community Mental Health Nursing by Author "Dr. Adnan Sarhan"
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- ItemDepressive Symptoms Among Palestinian Deaf Adults(2014) Ibrahim Fakhri Ibrahim Aqtam; Dr. Adnan SarhanThe aim of the Study: The study aims to assess the prevalence of depressive symptoms among Palestinian deaf adults. Method: A quantitative cross-sectional design was adopted to answer the research question for the study. The framework is based on factors derived from previous studies on the Patient Health Questionnaire PHQ-9 (Robert & Spitzer et al, 2001). The subject population was composed of 217 adults from three representative West Bank Palestinian cities. Participants ranged in age from 15 to 65 years divided as males (n=136) and females (n=81). All participants attend special deaf centers and use the Palestinian Sign Language (PSL). Results and Data Analysis: The data analyzed using Statistical Package for Social Sciences (SPSS). We used mean, standard deviation, and multivariate logistic regression. According to the multivariate analysis results of the study showed, (OR=2. 0) (95% CI, 1.2-3.4) minimal depression, (OR= 1.7) (95% CI, 1.2-2.3) mild depression, (OR=1. 4) (95% CI, 1.1-1.9) moderate depression, and (OR=0. 9) (95% CI, 0.7-1.2) severe depression. Conclusion: The concluded result of our study is that more than half of the respondents suffer from depression at varying levels, which is considered significant conclusion. Tendency for depression might be a common health problem among deaf adults attending primary health maintenance installations. Further research on socio-demographic characteristics and the force of depression on their health status is required. Keywords: Depression, Prevalence, Cross sectional, Deaf, Palestinian.
- ItemMarriage Experience among Schizophrenic Clients: Qualitative Narrative Study(2013) Wissam Obaied; Dr. Adnan SarhanIntroduction Marriage is considered a normal developing relation between humans. This study examined the effects of marriage among schizophrenic clients, and if we must need to encourage their marriage or not . Aim : The aim of this study is to explore the effectsof marriage on single and married schizophrenic clients. Every relationship has its ups and downs, but what does "in sickness and in health" mean if one partner has schizophrenia? While severity of the illness is a factor, relationships can survive if each partner gets the right support (Connie, 2000). Design : This study is a qualitative narrative study .We tried to answer questions related to the marital status of schizophrenic clients. Data collection . Sample : About 80 schizophrenic clients . half of them are married for at least since three years and suffering from schizophrenia for a period which is not less than six months or more . The other half included single clients suffering from schizophrenia for at least six months or more. Setting : Interviews were conducted in three mental health centers in ( Nablus –Jenin and Tul-Karem ) were included in the current study . Data Analysis : The respondents were interviewed in the mental health centers after consenting to share in this study. The interviews were started with 12 close ended questions; about their demographic data such as; age, sex, occupation and other questions. The second part of the interview was composed of 12 direct face to face narrative questions with the married respondents, and 5 questions with the single ones. Narrative interviews were conducted (Narrative interview is a form of qualitative research that takes story as either its raw data or its product). The note was written during the interviews, after taking permission from the participants, and then deep analyses of the clients’ interviews were done. Results Seven main themes were emerged from the study: 1- The effect of marriage on the Recovery Process of Schizophrenic Clients .Most of the clients encourage marriage , both married and single clients ,they believe that marriage has appositive effects on their lives ,the need of admission and the number of suicide attempt was decreased , and single clients believe the same, but due to economic factors they cannot marry . 2- The effect of gender of the client on the recovery process of him / her and on his marriage .We can say that the male have more chance to marry , and the male client have more responsibility and more stress related to these responsibility . 3 - The effect of age of the client on the recovery process of him and on his marriage .We can say that the old client less stress and more adjustment with the disease . 4-The Effect of Stigma on Marriage and Recovery Process of Schizophrenic Clients .The stigma prevent the client from having many of their rights unfortunately , such as marriage and work . 5 - The effect of having children on the recovery process of schizophrenic clients. They said that their lives became better after marriage, and they said that , their children consider as the most reason of their happiness . 6 - The big effect of the schizophrenic client's family on planning his life, and the client also said that they are at control of their family members , and they are dependent a lot on them , and they cannot marry without their help and their agreement . 7 -The big effect of the schizophrenic client's community on planning his life and marriage .the stigma against the clients in the community have negative effect in the subject of clients marriage unfortunately .The psychiatrist some time did not encourage their marriage . Conclusion The client has the right like other persons to marry and have children, but before marriage, he must have a work or a job, and the partner must know about his / her condition from the beginning. In general, marriage has positive effect on the client’s recovery process, but the other partner faces many problems related to the disease, and must be very patient and has good understanding of his partner. Key words : Schizophrenia – Marriage – Single –Recovery process – Divorce .
- ItemPsychosocial Impact of Stigma on Schizophrenic Clients and their Family Members(2013) Nida Jawabreh; Dr. Adnan SarhanIntroduction: Stigma acts as a barrier for schizophrenic clients and their family members. In fact, it prevents clients and family members from getting the help they need. To date, there are limited studies regarding the impact of stigma on the social life of the schizophrenic clients and their family members in Palestine. This study aims to investigate the extent of stigma on schizophrenic clients and their families, and to investigate the effect of stigma on the interviewees in accordance with their demographic variables. Methods: By following a descriptive non-experimental design, mainly by using face to face structured interviews and a questionnaire methodology for quantitative part of the study, and narrative interviews for qualitative part. This study sample consists of 150 schizophrenic clients and 150 of their family members from the Northern cities of Nablus, Jenin and Tulkarm of the West Bank, Palestine. Results: The quantitative results show that the most prevalent stigma among schizophrenia clients was moderate with a degree of 48% and the least prevalence was severe with a degree of 2%. There is no significant correlation between the extent of stigma and: education, and gender, but in relation with age and educational status we found that there is a significant correlation. Also the prevalence of stigma among family members was found to be a round medium and low level with a degree of 21.3%, 40.6% respectively. Which revealed a normal distribution of family impact of stigma and come to the lower impact than their patients. The qualitative results show that the impact of stigma centralized on: inadequate support, burden of caring, and knowledge deficit. Conclusion: The study concluded that schizophrenic clients and their family members experience stigma in their life and this negatively affected their quality of life in different aspects. The findings show that caring for a client with schizophrenia is stressful for the family members so there is need for financial and social support and training programs for the family members.