Nursing Intervention on Self Care Skills for Chronic Hospitalized Schizophrenic Patients

Abstract

Schizophrenia is a serious public health problem. People with schizophrenia are atincreased risk for multiple and chronic social, cognitive, and behavioral deficits that may lead to inadequate health and self care practices.The study aims for enhancement of nursing interventions on self care skills for chronic hospitalized schizophrenic patients through assess self care skills of schizophrenic patients, Plan and implement a nursing intervention and evaluate its impact on self care skills of schizophrenic patient. The sample consisted of (40) schizophrenic patients, (20) patients were subjected to the nursing intervention program and the other 20 patients were considered as a control group. The study was conducted in El-Abbasia hospital for Mental Health.Five tools were utilized to measure the concepts of the study: Sociodemographic data sheet, The Scale for the Assessment of Positive Symptoms, The Scale for the Assessment of Negative Symptoms, Nurses’ Observation Scale for Inpatient Evaluation and self care scale: patient version. A nursing training program was developed by the researcher to increase patients’ engagement in self care. It is a planned activity; begin with assessment, planning, and description of the program content, implementation and evaluation. Results revealed that, there was a highly significant statistical difference between both group in relation to positive & negative symptoms, patient self care and nurses observation inpatient evaluation. Also all patient post experimental groups showed improved as a consequence of the nursing program intervention Compared to cases which are subject to the daily routine of the hospital. The schizophrenic patients who attend to the nursing intervention program showed significant improvement in self care and control over their symptoms. Also suggested that the nursing intervention program should be considered an effective therapy and complementary to existing treatments and should be used in psychiatric wards to achieve highest self care. Key Words: Schizophrenia, Self Care Skills, Skills Training Program.