Journal List > J Korean Acad Nurs > v.46(4) > 1003186

TOOLS
Park and Sung: Effects on Stress, Problem Solving Ability and Quality of Life of as a Stress Management Program for Hospitalized Schizophrenic Patients: Based on the Stress, Appraisal-Coping Model of Lazarus & Folkman
Original Article

Journal of Korean Academy of Nursing 2016; 46(4): 583-597.

Published online: 31 August 2016

DOI: https://doi.org/10.4040/jkan.2016.46.4.583

Effects on Stress, Problem Solving Ability and Quality of Life of as a Stress Management Program for Hospitalized Schizophrenic Patients: Based on the Stress, Appraisal-Coping Model of Lazarus & Folkman

Sun Ah Park1, Kyung Mi Sung2

1Nursing Department, Munkyung College, Munkyung, Korea.

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

Address reprint requests to: Sung, Kyung Mi. College of Nursing, Gyeongsang National University, 816-15, Jinju-Daero, Jinju, 52727, Korea. Tel: +82-55-772-8246, Fax: +82-55-772-8222, sung@gnu.ac.kr

Received 27 January 2016       Revised 11 April 2016       Accepted 24 May 2016

© 2016 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

The study was done to evaluate the effects a Stress Management Program (SMP) on stress, problem solving skills, and quality of life for hospitalized patients with Schizophrenia.

Methods

A mixed method design was used: a combination of a repeated-measure design with a non-equivalent control group and qualitative data collection. The participants were 40 patients with schizophrenia admitted in three psychiatric hospitals. The experimental group (n=20) received the SMP twice a week for a total of 8 weeks.

Results

Study results revealed that the SMP was effective for stress (F=321.02, p<.001), problem solving ability (F=246.28, p<.001), and quality of life (F=63.35,p<.001) for hospitalized persons with schizophrenia.

Conclusion

The results suggest that a SMP can be an effective strategy to reduce patients' hospitalization stress, and improve problem solving skills and quality of life. Therefore, it is recommended that mental health nurses use this stress management program in clinical practice to assist adaptation to hospitalization for persons with schizophrenia.

Keywords: Hospitalization, Schizophrenia, Stress, Problem solving, Quality of life

Figures and Tables

Figure 1

Conceptual framework of the study.

jkan-46-583-g001
Table 1

Hospitalized Stress Management program

jkan-46-583-i001
Table 2

Homogeneity Test of Participants' Characteristics (N=40)

jkan-46-583-i002

Exp.=Experimental group; Cont.=Control group; M=Mean; SD=Standard Deviation; *Fisher's exact test

Table 3

Effects of Stress Management Program on Stress, Problem Solving Ability, and Quality of Life (N=40)

jkan-46-583-i003

*Appro. χ2 : Approximately Chi–square; †One–way ANOVA with repeated measures using the Greenhouse–Geisser adjustment; Exp.=Experimental group (n=20); Cont.=Control group (n=20); G×T=Group×Time.

Notes

*This manuscript is based on a part of the first author's doctoral dissertation from Gyeongsang National University.

CONFLICTS OF INTEREST The authors declared no conflict of interest.

References

1. Chung IW, Hyun MH, Kim JY, Bae JN, Jang HS, Na DS. Survey on clients and facilities of mental health institutions. Seoul: National Human Rights Commission of Korea;2009.
2. Suh TW. Length of stay of psychiatric inpatients by sociodemographic and clinical characteristics, and type of facilities. J Korean Neuropsychiatr Assoc. 2002; 41(6):1174–1184.
3. Kim CY, Hong JP, Choi JW, Hong TY, Han OS. Outcome in first admission schizophrenia: I. two and five year follow-up. Ment Health Serv. 1997; 2(1):78–86.
4. Park SA, Sung KM. Development of a measurement of stress for hospitalized schizophrenic patient. J Korean Acad Nurs. 2014; 44(3):339–349. DOI: 10.4040/jkan.2014.44.3.339.
5. Bae A, Kim JH, Park SH, Kim MK, Kim JW. The quality of life of chronic mental patients according to therapeutic environment. J Korean Neuropsychiatr Assoc. 1999; 38(6):1273–1281.
6. Jung JE. The hospital experience of psychiatric patient: A phenomenological approach. J Korean Acad Psychiatr Ment Health Nurs. 2000; 9(2):156–169.
7. 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. DOI: 10.1007/s00127-011-0427-z.
8. Jin J, Yoo JH. Psychiatric patients' experiences of being restrained: A phenomenological study. J Korean Acad Psychiatr Ment Health Nurs. 2013; 22(4):349–358. DOI: 10.12934/jkpmhn.2013.22.4.349.
9. Alford BA, Correia CJ. Cognitive therapy of schizophrenia: Theory and empirical status. Behav Ther. 1994; 25(1):17–33.
10. Ko SH. A comparative study on stress and coping method of psychiatric patients and non-psychiatric peoples. J Nurs Acad Soc. 1979; 9(1):23–30.
11. Eom TW, Lee KY. The relationship among social problem solving capability, social support and depression of North Korean defectors. Ment Health Soc Work. 2004; 18:5–32.
12. Kim YY, Baek YM, Park HS. The effect of self-efficacy and problem solving capacity on rehabilitation outcomes in patients with schizophrenia. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17(3):322–331.
13. Lee KS, Joung YR, Ha EH. The effect of stress management program on patient with psychotic disorder. Journal of Korean Clinical Nursing Research. 2002; 8(1):37–57.
14. Kim EJ, Gwon ES, Lee HS, Lee SY, Park IH, Jung DN, et al. Effects of a stress-management program on stress coping methods, interpersonal relations, and quality of life in patients with chronic mental illness. J Korean Acad Psychiatr Ment Health Nurs. 2011; 20(4):423–433. DOI: 10.12934/jkpmhn.2011.20.4.423.
15. Park HK, Koo JW, Roh YM, Lee KS, Park CY. The effectiveness of the stress-management programs on the symptoms and quality of life in the chronic schizophrenics. Korean J Occup Health. 2003; 42(1):21–27.
16. Hyun MY, Yu SJ, Lee JE. Effects of cognitive-behavioral program on the anxiety and quality of life in schizophrenic patients. J Korean Acad Psychiatr Ment Health Nurs. 2004; 13(3):315–322.
17. Roder V, Müller D. Stress management programme may reduce hospital admissions among people with schizophrenia. Evid Based Ment Health. 2003; 6(2):52. DOI: 10.1136/ebmh.6.2.52.
18. Stein F, Nikolic S. Teaching stress management techniques to a schizophrenic patient. Am J Occup Ther. 1989; 43(3):162–169. DOI: 10.5014/ajot.43.3.162.
19. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York, NY: Springer Publishing Company;1984.
20. Han KS, Park YH, Lee EM, Bae MH, Kang HC. Effects of stress management program on patients with chronic schizophrenia in community. Korean J Stress Res. 2009; 17(4):333–340.
21. Heppner PP, Petersen CH. The development and implications of a personal problem-solving inventory. J Couns Psychol. 1982; 29(1):66–75. DOI: 10.1037/0022-0167.29.1.66.
22. Lee CS, Kim SJ, Kim AK, Kweon YR. The effect of integrated mental health care program on knowledge and practice related to drug and symptom management, and problem solving ability for schizophrenic patients and their families. J Korean Acad Psychiatr Ment Health Nurs. 2007; 16(3):276–287.
23. The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998; 28(3):551–558.
24. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOLBREF). J Korean Neuropsychiatr Assoc. 2000; 39(3):571–579.
25. Park BS, Lim SO, Bae SW. A meta-analysis on the variables related with quality of life among persons with severe mental illness. Ment Health Soc Work. 2013; 41(3):63–92.
26. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008; 62(1):107–115. DOI: 10.1111/j.1365-2648.2007.04569.x.
27. Lee OS, Chung SH. A study on the hospitalization stress of surgical inpatients. Chonbuk Univ Med J. 1994; 37:257–266.
28. Kim SY. A study on the effect of stress management program for persons with chronic mental disability[master's thesis]. Daegu: Kyungpook National University;2011. 1–101.
29. Kang HK, Yoo JS. The influence of stress in families of children with disabilities upon problem-solving ability: Centering on the buffering effect of family resilience. Korean J Elementary Couns. 2012; 11(3):427–446.
30. Norman RM, Malla AK, McLean TS, McIntosh EM, Neufeld RW, Voruganti LP, et al. An evaluation of a stress management program for individuals with schizophrenia. Schizophr Res. 2002; 58(2-3):293–303. DOI: 10.1016/S0920-9964(01)00371-1.
31. Lee OH. A study on the developing a program of problem solving training and its skill for schizophrenic patients[master's thesis]. Daegu: Taegu University;2006. 1–73.
TOOLS
Similar articles