Abstract
M.Cur.
The problem of relapsed psychiatric patients is global, it is high in rural areas where services are not readily available. Lack of knowledge of psychiatric conditions and the management by family of patients play a part in psychiatric patients relapsing.
Families reject their family members (patients) when they are in hospital, for what they did when their illness started. Some patients assaulted people, stripped naked in the street. The family then disassociate themselves from the patient because of that behaviour.
Studies have indicated that the following reduce the rate of relapse of psychiatric patients:
• psycho-education for families regarding the causes of mental illness and its management; and
• active involvement of families of patients in the treatment plan of these patients.
The researcher’s interest was triggered by the high rate of psychiatric patient relapses in the institution where she works. The researcher decided to investigate the experiences of patients who have relapsed.
An investigation was done whereby an explorative, descriptive, contextual and qualitative design was used to find out what the experiences of patients are who have relapsed. Phenomenological interviews were done with seven participants who were purposively selected.
Permission was first obtained from the gatekeepers and participants. Thereafter, a pilot study was done with one patient who met the selection criteria for the study. This was done to help the researcher to discover the strong and weak points of the research and to make corrections where necessary.
Following Guba’s model (Krefting, 1991:214-222) strategies ensured trustworthiness. Data analysis was done following Tesch’s method of data analysis (Creswell, 1994:154-156).
The results showed that patients’ basic needs are neglected in some areas. Emotional dimensions of participants were not catered for by health workers, which resulted in participants getting frustrated and angry.
After the data analysis guidelines for psychiatric nurses were described to assist psychiatric patients to mobilise their resources.
Recommendations were made regarding the application of the results of the study in psychiatric education, nursing practice and research and for family members.
It was concluded that the questions of the study were answered and the objectives were achieved.