The Influence of Self-Efficacy-Based Family Psychoeducation on Family Caregiving Skills for Patients with Paranoid Schizophrenia

Authors

DOI:

https://doi.org/10.18196/ijnp.v9i1.21756

Keywords:

Family Psycoeducation, Mental illness, Mental disorders, Schizophrenia, Self Efficacy

Abstract

Background: Schizophrenia is one of the leading causes of disability worldwide. Among various types of schizophrenia, Paranoid schizophrenia is the most common type, which occurs about 40.8%. This type of prognosis has a better response to treatment, and many patients are still in stable conditions. Patients with paranoid schizophrenia need long-term care and supervision from their significant others, especially family members. In this situation, the role and support of the family becomes important; one of the nonpharmacological management for paranoid schizophrenia involving the family is family psychoeducation. In this research, psychoeducation was corrected and enhanced by presenting self-efficacy as part of family psychoeducation.

Objective: Self-efficacy-based family psychoeducation aims to provide a better understanding of changes in a person’s behavior on long-term treatment of mental illness.

Methods: This study used quantitative and pre-experimental designs with one group pretest and posttest. This study was conducted in the working area of  Jenangan Public Health Center. The research period started in October and continued until November 2023. The authors used a purposive sampling technique. Respondents in this study were family members of paranoid schizophrenia patients who were also their caregivers. This family psychoeducation used a guideline module to guide the therapist on how to perform self-efficacy-based family psychoeducation to respondents. The family caregiving skills for patients with paranoid schizophrenia were assessed using five family health tasks questionnaires and statistically tested with the Wilcoxon test. The total number of respondents in this study was 48 respondents.

Results: The results of the statistical analysis showed that the P value was 0.000. This indicated a statistically significant difference, meaning that overall, the Family Psychoeducation intervention based on Self-Efficacy had a positive impact on the family's ability to care for individuals with paranoid schizophrenia.

Conclusion: It can be concluded that self-efficacy-based psychoeducation influences caregiving skills for paranoid schizophrenia. This therapy is highly recommended for patients with mental health conditions. This therapy can be applied in hospital settings and in community family nursing. These findings highlight the importance of incorporating family psychoeducation as a part of the comprehensive treatment plan for patients with schizophrenia.

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2025-06-14

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