J Korean Acad Nurs.  2016 Aug;46(4):583-597. 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

Affiliations
  • 1Nursing Department, Munkyung College, Munkyung, Korea.
  • 2College of Nursing & Institute of Health Sciences, Gyeongsang National University, Jinju, Korea. sung@gnu.ac.kr

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.

Keyword

Hospitalization; Schizophrenia; Stress; Problem solving; Quality of life

MeSH Terms

*Adaptation, Psychological
Adult
Female
Hospitalization
Humans
Male
Middle Aged
Models, Theoretical
Patients
*Problem Solving
*Program Evaluation
Psychotherapy
*Quality of Life
Schizophrenia/*pathology
Schizophrenic Psychology

Figure

  • Figure 1 Conceptual framework of the study.


Cited by  1 articles

Effects of the Integrated Stress Management Program on Stress and Depression in Psychiatric Inpatients
Ji Eun Kim, Myung Sill Chung, Mi Sook Kwon, Sunah Kang, Jain Ko, Hyeon A Kang, Mi Hui Seo, Young Ok Song, Yoonyoung Nam
J Korean Acad Psychiatr Ment Health Nurs. 2019;28(3):226-235.    doi: 10.12934/jkpmhn.2019.28.3.226.


Reference

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.
Full Text Links
  • JKAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr