Journal List > J Korean Acad Nurs > v.44(3) > 1002996

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Park and Sung: Development of a Measurement of Stress for Hospitalized Schizophrenic Patient
Original Article

Journal of Korean Academy of Nursing 2014; 44(3): 339-349.

Published online: 30 June 2014

DOI: https://doi.org/10.4040/jkan.2014.44.3.339

Development of a Measurement of Stress for Hospitalized Schizophrenic Patient

Sun Ah Park1, Kyung Mi Sung2

1Department of Nursing, Suncheon First College, Suncheon, Korea.

2College of Nursing & Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Address reprint requests to: Sung, Kyung Mi. College of Nursing & Institute of Health Sciences, Gyeongsang National University, 816-15 Jinju-daero, Jinju 660-751, Korea. Tel: +82-55-772-8246, Fax: +82-55-772-8222, sung@gnu.ac.kr

Received 11 March 2014       Revised 1 April 2014       Accepted 12 June 2014

© 2014 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study was done to develop a measurement for stress experienced by patients with schizophrenia during hospitalization.

Methods

The preliminary tool was developed through in-depth interviews and a validity verification test of content. For data collection, 15 inpatients with schizophrenia were selected as participants for in-depth interviews and 195 patients admitted to one of eight psychiatric hospitals in four provinces were recruited as participants to test reliability and validity of the preliminary tool.

Results

The questionnaire was developed as a four-point Likert-type scale in a self-report form with 28 items. Factor analysis showed 28 items in six factors. Factors were named 'Unjust human rights infringement', 'Futureless life', 'Alienation from other family members', 'Infringement of basic needs', 'Infringement of personal preference' and 'Inconvenience of shared living'. The six factors explained 63.5% of the total variance. Cronbach's alpha for the total items was .93 and for the factors ranged from .65 to .87.

Conclusion

A tool to measure stress in patients hospitalized with schizophrenic was developed based on identified hospitalization stress experiences. Study results indicate that this tool can be used to evaluate hospitalization stress in these patients and will contribute to establishing nursing interventions for relief of hospitalization stress.

Keywords: Measurement, Stress, Hospitalization, Schizophrenia

Figures and Tables

Table 1
Selected Literature for Development of the Semi-structured Questionnaire for In-depth Interviews
jkan-44-339-i001
Table 2
Item-Total and Inter-Item Correlation and Reliability for Initial 50 Items (N=195)
jkan-44-339-i002

Total Cronbach's α=.97; Range of Inter-item correlation: .06<r≤.61.

Table 3
Factor Analysis of the Stress Scale for Hospitalized Schizophrenic Patient (N=195)
jkan-44-339-i003
Table 4
Correlation between Patients' Stress and Depression (N=195)
jkan-44-339-i004
Table 5
Reliability for Final 28 Items (N=195)
jkan-44-339-i005

SEM=Standard error of measurement.

References

1. Seo MK, Kim CN, Rhee MK. Effect of biogenetic causal explanation and familiarity with mental illness on social distance toward persons with mental disorders. Korean J Health Psychol. 2010; 15(1):123–141.
2. Seo MK. A study on human rights of the mentally ill. J Crit Soc Welf. 2005; 20:89–117.
3. Chung IW, Hyun MH, Kim JN, Jang HS, Ra DS, Bae A, et al. Survey on clients and facilities of mental health institutions. Seoul: National Human Rights Commission of Korea;2009.
4. Lee SW, Ro YJ, Kim TK. Differences in the characteristics of hospital stress between medical and surgical patients. J Nurs Acad Soc. 1989; 19(1):99–107.
5. Rüsch N, Müller M, Lay B, Corrigan PW, Zahn R, Schönenberger T, et al. Emotional reactions to involuntary psychiatric hospitalization and stigma-related stress among people with mental illness. Eur Arch Psychiatry Clin Neurosci. 2014; 264(1):35–43. http://dx.doi.org/10.1007/s00406-013-0412-5.
6. Hann YS, Yang IH, Kim CE, Chung YC. The perceived stress in schizophrenic patient. Inje Med J. 1992; 13(1):97–104.
7. Lee YY, Kee BS, Lee KH. A correlative analysis between psychosocial stress and depressive trend in psychiatric inpatients. J Korean Neuropsychiatr Assoc. 1990; 29(5):1125–1138.
8. Jung JE. The hospital experience of psychiatric patient: A phenomenological approach. J Korean Acad Psychiatr Ment Health Nurs. 2000; 9(2):156–169.
9. Nam KA. The seclusion experience of psychiatric patients [dissertation]. Seoul: Yonsei University;2002.
10. Katsakou C, Rose D, Amos T, Bowers L, McCabe R, Oliver D, et al. Psychiatric patients' views on why their involuntary hospitalisation was right or wrong: A qualitative study. Soc Psychiatry Psychiatr Epidemiol. 2012; 47(7):1169–1179. http://dx.doi.org/10.1007/s00127-011-0427-z.
11. Kim GJ, Bae A, Cho NH. A comparative study on the therapeutic setting of the open and the closed ward in mental hospital. J Korean Neuropsychiatr Assoc. 1997; 36(4):658–670.
12. Lee BH, Joe SH, Kwak DI. The evaluation of minor stressor in psychiatric patients: For the patient with anxiety or depressive disorder. J Korean Neuropsychiatr Assoc. 1996; 35(5):969–981.
13. Topf M, Thompson S. Interactive relationships between hospital patients' noise-induced stress and other stress with sleep. Heart Lung. 2001; 30(4):237–243. http://dx.doi.org/10.1067/mhl.2001.116592.
14. Choi OS. A study of stress factors experienced by the hospitalized patients. J Korean Neuropsychiatr Assoc. 1975; 5(1):93–111.
15. Ahn JH, Lee JW, Lee KH. A study of relation between psychosocial stress and anxiety in psychiatric inpatient. J Korean Neuropsychiatr Assoc. 1990; 29(5):1139–1154.
16. Burke HM, Davis MC, Otte C, Mohr DC. Depression and cortisol responses to psychological stress: A meta-analysis. Psychoneuroendocrinology. 2005; 30(9):846–856. http://dx.doi.org/10.1016/j.psyneuen.2005.02.010.
17. Karademas EC, Tsagaraki A, Lambrou N. Illness acceptance, hospitalization stress and subjective health in a sample of chronic patients admitted to hospital. J Health Psychol. 2009; 14(8):1243–1250. http://dx.doi.org/10.1177/1359105309345169.
18. Kim OH. A sense of humor as a moderator of the relationship between stressful life events and depression in psychiatric clients. J Korean Acad Psychiatr Ment Health Nurs. 1994; 3(1):65–76.
19. Lee SW, Hah YS, Park ES. A study on the rank of stressful events related to the experience of hospitalization. J Nurs Acad Soc. 1985; 15(1):17–29.
20. Kim CK, Lee JY, Song YS, Kim GH, Kim GR, Kim JW, et al. Development of the service satisfaction scale for psychiatric inpatients. J Korean Neuropsychiatr Assoc. 2006; 45(3):238–251.
21. Kwon HJ, Rho ES, Kwon SS, Kim KH, Yeoum SG, Song MS, et al. A grounded theory approach to the experiences of hospitalization. J Korean Acad Psychiatr Ment Health Nurs. 2003; 12(2):172–181.
22. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008; 62(1):107–115. http://dx.doi.org/10.1111/j.1365-2648.2007.04569.x.
23. Waltz CF, Bausell BR. Nursing research: Design statistics and computer analysis. Philadelphia, PA: F. A. Davis Company;1981.
24. Lee EO, Gu MO, Kwon IG, Kim KS, Kim I, Kim JI, et al. Research evaluation and utilization. Seoul: Koonja;2007.
25. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1(3):385–401. http://dx.doi.org/10.1177/014662167700100306.
26. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc. 1993; 32(3):381–399.
27. Han SS, Lee SC. SPSS nursing and health statistical analysis. Seoul: Hyunmoon;2006.
28. An SH, Park DS, Lee SM. The clinical application of ICF (International Classistication of Functioning, disability and health) for functional ability analysis of stroke patients. J Korean Acad Occup Ther. 2009; 17(4):37–44.
29. Volicer BJ, Bohannon MW. A hospital stress rating scale. Nurs Res. 1975; 24(5):352–359.
30. Lee JE, Yeul HM. Burden, self-esteem and hope in the family caregivers of mentally ill persons. J Korean Acad Psychiatr Ment Health Nurs. 2003; 12(3):268–278.
31. Kim SH, Jo MW, Lee SI. Psychometric properties of the Korean short form-36 health survey version 2 for assessing the general population. Asian Nurs Res. 2013; 7(2):61–66.
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