Effects of a Relapse Prevention Program on Insight, Empowerment and Treatment Adherence in Patients with Schizophrenia.
10.4040/jkan.2017.47.2.188
- Author:
Jaewon JOUNG
1
;
Sungjae KIM
Author Information
1. College of Nursing, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Schizophrenia;
Relapse;
Prevention;
Treatment;
Empowerment
- MeSH:
Diagnosis;
Humans;
Inpatients;
Longitudinal Studies;
Mental Disorders;
Power (Psychology)*;
Recurrence*;
Schizophrenia*;
Secondary Prevention*
- From:Journal of Korean Academy of Nursing
2017;47(2):188-198
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to develop a relapse prevention program (RPP) and examine the effects of the RPP on insight, empowerment, and treatment adherence in patients with schizophrenia. METHODS: A non-equivalent control group pretest-posttest design was used. Participants were 54 inpatients who had a diagnosis of schizophrenia (experimental group: 26, control group: 28). The study was carried out from February 7, 2012 to February 6, 2013. Over a 10-day period prior to discharge each participant in the experimental group received three one-hour sessions of RPP a one-to-one patient-nurse interaction. Data were collected using Assess Unawareness of Mental Disorder (SUMD), Empowerment Scale, and Insight and Treatment Attitude Questionnaire (ITAQ) and analyzed using PASW 18.0 with chi-square test, independent t-test, Mann-Whitney U test, and ANCOVA. RESULTS: The experimental group had a significant increase in insight and treatment adherence compared to the control group. However, there was no significant difference in empowerment between the two groups. CONCLUSION: Findings indicate that the RPP for patients with schizophrenia was effective in improving insight and treatment adherence. A longitudinal study is needed to confirm the persistence of these effects of RPP in patients with schizophrenia.