The effect of family-centered care on the family caregiver's burden of patients with epilepsy

epilepsy family caregivers are faced with many challenges in the caregiving situation. Therefore, assessing of caregiver's challenges in the high complexity caregiving and implementing a family-centered interventional, can lead to facilitating of the caregiving roles, increasing quality of patients care and caregivers quality of life as well as nursing knowledge. The aim of this study was to the effect of family-centered care on the family caregiver's burden of patients with epilepsy.
This study was a clinical trial study that conducted between 2016-2017, in two medical training centers Ayatollah Kashani and Hajar. In this study used available sampling method and then randomly samples ( family caregivers) in two intervation group(n=50) and control group(n=50).The intervation group was made family-centered care program in four steps, threats perceived, self-efficacy, self-esteem and evaluation through group learning, group problem solving and educational participation in 4 session. Data collection method the Persian and standardized version of the Zarit interview scale assessing the mean scores of caregiver's burden in the intervention and control groups on pre-intervention, immediately post-intervention and two month post-intervention. Data analysis was conducted using statistical tests such as independent t-test and repeated measurement of analysis of variance using SPSS software .
Findings: The findings of analysis of inter - group and between - group statistical tests in order to assessing and comparing the mean scores of caregiver's burden, on the intervention and control group, showed non significant differences in the caregiver's mean scores of these variable on the pre-intervention time (P≥0.05), and significant differences on immediately post-intervention and two month post-intervention in the both intervention and control groups (P≤0.05). The findings of between- group statistical tests on immediately - post intervention and two-month post intervention mean scores of variables indicate significant statistically reduction on family caregiver's burden, compared with the baseline scores in intervention group and lesser reduction of the same variables in the control group (P≤0.05).
Discussion and The findings of this study showed that the family-centered care can reduce caregivers’burden, stress, anxiety and depression. so family caregivers will prepare for the role of care and better manage the care process. the training can increase knowledge and skills for handling with physical and psychological pressures of being a caregiver role. Considering the effectiveness of the family-centered care, it is recommended that nursing be using this program can reduce caregiver’burden, stress and anxiety of other diseas