The Effects of an Acceptance-Commitment Therapy Based Stress Management Program on Hospitalization Stress, Self-Efficacy and Psychological Well-Being of Inpatients with Schizophrenia.
10.4040/jkan.2018.48.4.443
- Author:
Jae Woon LEE
1
;
Jae Hyun HA
Author Information
1. Nursing Department, Bugok National Hospital, Changnyeong, Korea.
- Publication Type:Original Article
- Keywords:
Acceptance and Commitment Therapy;
Hospitalization;
Schizophrenia;
Self Efficacy;
Stress, Psychological
- MeSH:
Acceptance and Commitment Therapy;
Diagnosis;
Hospitalization*;
Humans;
Inpatients*;
Primary Health Care;
Psychiatric Nursing;
Schizophrenia*;
Self Efficacy;
Stress, Psychological
- From:Journal of Korean Academy of Nursing
2018;48(4):443-453
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to construct an acceptance-commitment therapy (ACT)-based stress management program for inpatients with schizophrenia and to examine its effects on hospitalization stress, self-efficacy, and psychological well-being. METHODS: A non-equivalent control group pretest-posttest design was used. Participants were 44 inpatients with a diagnosis of schizophrenia. The experimental group (n=22) received the ACT-based stress management program twice a week for a total of four weeks. The control group (n=22) received the usual care from their primary health care providers. The study was carried out from August 7 to September 1, 2017, and data were analyzed using IBM SPSS/WIN 22.0 with a Chi-square test, Fisher's exact test, and an independent t-test. RESULTS: The experimental group showed a significant decrease in hospitalization stress (t=5.09, p < .001) and an increase in self-efficacy (t=2.44, p=.019). However, there was no significant difference in psychological well-being between the two groups (t=0.13, p=.894). CONCLUSION: The results of this study suggest that the ACT-based stress management program can be used as an effective mental health nursing intervention for hospitalization stress and self-efficacy for inpatients with schizophrenia.
