An Intervention Program for Improving Sleep Quality among Patients with Schizophrenia

Abstract

Sleep disorders are frequent symptoms described in psychiatric patients with schizophrenia. The aim of this study was to evaluate the effect of intervention program for improving sleep quality among patients with schizophrenia. The study was at the inpatient department of El-Abassia Governmental Hospital for Psychiatric Mental Health in Cairo affiliated to Ministry of Health conducted on 40 patients with schizophrenia. Data were collected using: I) interviewing questionnaire to assess (A) -Socio- demographic characteristics (age, gender, marital status, , address, educational level, work, occupation position, monthly income (B)-Medical history (physical illness, duration of psychiatric illness, number of hospital admissions, beginning of the disease and type of treatment. II)Pittsburgh Sleep Quality Index.III) Sleep Hygiene Practices Scale. IV) Insomnia Severity Scale. The result showed that there is a highly statistically significant improvement in levels of Dimensions Reflecting Pittsburgh Sleep Quality Index in the post intervention. In addition, there is a highly statistically significant improvement in Levels of sleep hygiene practices in the post intervention. More over there is a highly statistically significant improvement in Items Reflecting “Insomnia Severity Index. Finally study reveals that, there is a highly statistically significant Positive Correlation between Global PSQI Percent Score, Sleep Hygiene Percent Score and Insomnia Severity Index Percent Score (P<0.01).In conclusion, that the implementation of the intervention program had a positive effect on sleep quality among patient with schizophrenia. It was recommended that the study highlighted to incorporating the concepts of sleep quality into the nursing curricula at all levels of nursing education with emphasis on practice of sleep hygiene. Further studies are proposed to assess the long-term effects of the present study program and similar ones.