Journal presentation psy schiozophrenia

Presented by:-Mr. Suresh Kumar Sharma

F.Y. MSc Nursing Student Submitted To:- Mrs. Nisha deshpande

Principal,BVSON

JOURNAL PRESENTATION

Problem statement:-“TO ASSESS THE EFFECTIVENESS Of STRUCTURED ACTIVITY PROGRAMME ON THE LEVEL OF SELF CARE ABILITY ON PERSONAL HYGIENE OF PATIENTS DIAGNOSED WITH SCHIZOPHRENIA.” N. Padmavathi, Dr. k lalitha, Dr. R. parthasarathy

Msc Nursing and clinical instructorNimhans , banglore

Journal of NRSI- april-may(2011), vol. 4, issue 1

Schizophrenia:-It is a psychotic condition

characterize by disturbances in thinking, emotions and

behavior in the presence of clear consciousness, which usually leads to social withdrawal.

Introduction

AIM:- TO Prepare structured activity programme and evaluate its effectiveness on the level of self care ability on personal hygiene for patients diagnosed with schizophrenia.

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To assess the level of self care ability on personal hygiene of patients with schizophrenia.

To find out the effectiveness of structured activity programme on the level of self care ability on personal hygiene seen among patients with schizophrenia.

OBJECTIVE

H0:- there will be statistically no significant difference in the level of functional ability between experimental group and control group before and after implementation of structured activity programme.

Hypothesis

Research design:- pre test and post test design with control

group.

Settings:- In patients female open general ward as well as closed

ward at NIMHANS, BANGLORE.

POPULATION:-FEMALE PATIENTS WHO WERE DIAGNOSED WITH

SCHIZOPHRENIA.

Research approach:-true experimental approach.

Sample size- 30 PATIENTS 15 Control group & 15 Experimental group

Sampling technique:-MULTIPHASE SIMPLE RANDOM

SAMPLING.

PATIENTS WHO MET THE SELECTION

CRITERIA

COTROL GROUP – PATIENTS FROM

CLOSED FEMALE WARD

EXPERIMENTAL GROUP- PATIENTS FROM

OPEN FEMALE WARD.

RANDOMOSATION :- LOTTERY METHOD

v

v

INCLUSION CRITERIA Patients with schizophrenia All sub types of schizophrenia Only FEMALE Patients admitted first time in NIMHANS. Duration of illness >6 months Age 18-60 yrs

EXCLUSION CRITERIA:- Patients with co-morbid condition like alcoholism, MR etc.

Patients with acute symptoms.

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TOOLS Part-1 socio-demographic data sheet Name, age, religion, habitat, education,

occupation, marital status, family status, family income, diagnosis, duration of illness & handicap.

Part-2 rating scale for functional assessment

5 point rating scale raging from 0-4. Maximum- 176 & minimum- 0. Higher the score High self care ability. Tools had been pilot tested and found to be

feasible, practical, and suitable for study.04/12/23

Data collection procedure Permission from concerned authorities. Written informed consent from care giver/

staff Incharged. After collection of pre-test data

implementation of SAP. 12 session on personal hygiene activities

such as brushing, teeth, eating, nail care & hair care.

Each activity 3 days. Skill training & lecture method by using

video tap & ppt slides.

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Data analysis-

1. MANN WHITNEY U test- Compare the score b/w the group. Non-parametric test Equivalent of independent sample ‘t’ test.2. WILICOXON SIGNED RANKS TEST Compare the score within the group. Non-parametric test Equivalent of paired ‘t’ test.

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Major findings of the study:- Dimension wise comparison of pre test score on self care ability on personal hygiene between the experimental group and the control group at baseline. N=30

Table-1

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Dimension Experimental group(n=15)

Control group (n=15)

Z-value

P-value

MEAN SD MEAN SD

Brushing teeth(D1)

10.93 4.62 13.13 5.49 -1.125 0.261

Eating (D2) 7.93 4.85 12.20 7.18 -1.66 0.096

Nail care(D3) 3.80 3.69 5.47 6.61 -0.336 0.737

Hair care(D4) 11.80 6.65 12.73 6.64 -0.021 0.983

Dimension wise comparison of pre test and post test score on self care ability on personal hygiene Within the experimental group . N=30TABLE- 2

Improvement in self care ability and statically significant at p=0.001.04/12/23

Dimension Pre test Post test improvement

Z-value

P-value

MEAN SD MEAN SD

Brushing teeth(D1)

10.93 4.62 33.80 4.02 22.9 -3.412 0.001

Eating (D2) 7.93 4.85 31.47 5.22 23.5 -3.410 0.001

Nail care(D3) 3.80 3.69 29.80 5.99 26.0 -3.415 0.001

Hair care(D4) 11.80 6.65 31.40 5.68 19.6 -3.411 0.001

Dimension wise comparison of pre test and post test score on self care ability on personal hygiene Within the control group . N=30TABLE- 3

Improvement in self care ability compare to pre test and post test.04/12/23

Dimension Pre test Post test improvement

Z-value

P-value

MEAN SD MEAN SD

Brushing teeth(D1)

13.13 5.49 22.33 5.37 9.2 -3.413 0.001

Eating (D2) 12.20 7.18 18.40 6.08 6.2 -3.306 0.001

Nail care(D3) 5.47 6.61 12.13 6.52 6.7 -3.417 0.001

Hair care(D4) 12.73 6.64 20.33 6.32 7.6 -3.424 0.001

. Dimension wise comparison of post test score on self care ability on personal hygiene between the experimental group and the control group. N=30

Table-4

Highly significantly difference in level of self care ability in post test score b/w expermental group and control group since ‘p’ value was <0.001

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Dimension Experimental group(n=15)

Control group (n=15)

Z-value

P-value

MEAN SD MEAN SD

Brushing teeth(D1)

33.80 4.02 22.33 5.37 -4.305

<0.001

Eating (D2) 31.47 5.22 18.40 6.08 -4.323

<0.001

Nail care(D3) 29.80 5.99 12.13 6.52 -4.339

<0.001

Hair care(D4) 31.40 5.68 20.33 6.32 -3.931

<0.001

Major findings:- Even both group had improvement in

all four dimensions, but the experiment group had significant improvement than the control group.

Dimension wise comparison of post test score b/w experimental & control group showed that SAP Is significantly improved the self care ability of subject in experimental group.

So null hypothesis was rejected.

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Study was carried out to assess the effectiveness of structured activity programme on the level of self care ability on personal hygiene of patients diagnosed with schizophrenia.

Finding showed that SAP improved the self care ability on personal hygiene.

The intervention package would provide significant implication on field of education, practice & research.

conclusion

Bhugra, D.(2005). The global prevalence of schizophrenia.Plos medicine ,2(5) ,372-373. Plante T G. SOCIAL skills training; a programme to

help schizophrenic client cope. Journal of psychosocial nursing and mental health services 1989; 27(3)- 6-10.

Robert KH, liberman RP, Alex Kopehwic. Psychosocial skill training for schizophreniac: lesson from the laboratory schizophrenia bulletin . 2000;26(1): 21-46

World health organization. World health report . Mental health : new understanding, new hope. Geneva.2001

REFERENCES

Thank you