대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

The Effects of Medication and Symptom Management Education Program Based on Self Efficacy Theory for the Psychiatric Patients

  • 발행 : 2003.12.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Propose. An effective rehabilitation program had been developed for psychiatric patients' self management of medication and symptoms in Korea. The rehabilitation program was designed to allow the patients to understand their illness, cope with their medical regimen, and prevent a relapse by recognizing any of the symptoms when they recur. Methods. The developed program utilizes the self efficacy method reported by Bandura, it includes manuals and videotapes focusing on real life situations, small group discussions, and telephone coaching. This study investigated the effects of this program with respect to various predictable variables in psychiatric rehabilitation. Thirty eight patients were selected for this study, 18 in the experimental program and 20 as controls. Results. The results showed that the subjects who attended this educational program reported significantly more improvement in attitude toward medication compliance (p=0.033), and significantly less relapse warning symptom scores (p=0.000) than the controls. Conclusion. This program may be a useful psychoeducational resource for professionals in the field of clinical practice in psychiatry.

키워드

참고문헌

  1. Bandura, A.(1977). Self efficacy toward a unifying theory of behavioral change. Psychol Rev, 84,191-215 https://doi.org/10.1037/0033-295X.84.2.191
  2. Bandura, A., Adams, A. E., Hards, A. B., & Howell, G. N.(1980). Test of the generability of self efficacy theory. Cogni Ther Res, 4:39-466
  3. Batey, S., Ledbetter, J.(1982). Medication education for patients in partial hospitalization program. J Psycho Nurs Ment Heal Serv,20(7),7-10
  4. Beck, J. C., Staffin, R. D.(1986). Patient's competency to give informed consent to medication. Hosp Community Psychiarty, 37(4),400-402
  5. Breier, A., Strauss, S. J.(1983). Self control in psychotic disorders. Arch Gene Psychiatry, 40,1141-1145
  6. Buescher, K. L., Johnston, J. A., Parker, J. C., Smar, K. L., Buckelew, S. K., & Walker, S. E.(1991) Relationship of self effeicacy to pain behavior. J Rheumatology, 18, 968-972
  7. Clark, M. M., Abrams, D. B., & Miaura, R. S.(1991). Self efficacy in weight management. J Consult Clin Psychol, 59(5),739-744
  8. Clary, C.,Denver, A. & Schweizer, E.(1992). Psychiatric inpatients knowledge of medication at hospital discharge. Hosp Community Psychiatry, 43(2),140-144
  9. Cohen, I. C., Berk, A. L.(1985). Personal coping styles of schizophrenic outpatients. Hospital Community Psychiatry, 36(4), 407-410
  10. Creed, F., Anthony, P., Godbert, K., & Huxley, P.(1989). Treatment of severe psychiatric illness in a day hospital. Br J Psychiatry, 154,341-347 https://doi.org/10.1192/bjp.154.3.341
  11. Delamater, A. M., Bubb, J., Davis, S. G., Smith, J. A., Schmidt, L., White, N. H., & Santiage, J. V.(1990). Randomized prospective study of self management training with newly diagnosed diabetic children. Diabetes Care, 13(5),492-498
  12. Diamond, F. J. (1993). Enhancing medication use in schizophrenic patients. J Clin Psychiarty, 44(6), 7-14
  13. Dick, P., Cameron, L., Cohen, D., & Barlow, M.(1985). ,Anneince. Day and full time psychiatric treatment: A controlled comparison. Br J Psychiatry, 147,246-258 https://doi.org/10.1192/bjp.147.3.246
  14. Eckman, T. A., Liberman, P. R., Phipps, C. C., Karen, E., & Blair, B. S.(1990). Teaching medication management skills to schizophrenic patients. Am J Psychiatry, 149(11),1549-1555
  15. Eckman, T. A., Wirshing, C. W., Marder, R. S., Liberman, P. R., & Cronk, K. J.(1992). Technique for training schizophrenic patient in illness self management: A controlled trial. J Clin Psycho Pharmacol, 10(1),:33-38
  16. Fowler, L.(1992). Family paychoeducation: chronic psychiatrically ill caribbean patients. J Psychosocial Nurs. 30(3). 27-32
  17. Foulks, E. F., B. Persons, and P. L. Merkel (1996). The effect of patient's belief about their illness on compliance in psychotherapy. Am J Psychiatry, 143, 340-344
  18. Geller, J. L.(1982). State hospital patients and their medication: Do they know what they take. Am J Psychiatry, 35,645-647
  19. Gortner, S. R,, Gillis, C. L., Shinn, J. A., Sparacino, P. A., Rankin, S., Learitt, M., Price, M., & Hudes, M.(1988). Improving recovery following cardiac surgery: A randomized clinical trial. J Adv Nurs, 13,649-661 https://doi.org/10.1111/j.1365-2648.1988.tb01459.x
  20. Harmon, R. B., Sheri, A. Tratnack(1992). Teaching hospitalized patients with serious, persistent mental illness. J Psychosocial Nurs. 30(7). 33-36
  21. Heinrichs, D. W., Carpenter, T. W.(1985). Prospective study of pro dromal symptoms in schizophrenic relapse. Am J Psychiatry, 142(3),371-373
  22. Herz, M.(1992). Prodromal symptoms and prevention of relapse in schizophrenia. J Clin Psychiatry, 46(1),22-25
  23. Hogan, T. P., Awad, A. G.(1992). Subjective response to neuroleptics and outcome in schzophrenia: a re-examination comparing two measures. Psychol Med. 22, 347-352 https://doi.org/10.1017/S0033291700030282
  24. Kelly, R G., Scott, E. J.(1990). Medication compliance and health education among outpatients with chronic mental disorders. Med Care. 28,1181-1897 https://doi.org/10.1097/00005650-199012000-00006
  25. Kim, C. K., Byun, W. T.(1995). Rehabilitation for chronic psychiatric patients. Seoul: Sinhan
  26. Kuipers, J., Bell, C., Davidhizar, B., Cosgray, R., and.Fawley, R,(1994). Knowledge and attitude of chronic mentally ill patients before and after medication education. J Adv Nurs. 20, 450-456 https://doi.org/10.1111/j.1365-2648.1994.tb02380.x
  27. Kwon, J. S., Shin, S. W., Cheong, M. I., & Park, K. H.(1997). Medication compliance in psychiatric outpatients of a university hospital. J Korean Neuropsychiatr Assoc, 36(3), 523-529
  28. Larkin.(1982). What's a medication group? J Psychiatr Nurs, 20(2),35-37
  29. Lawrence, L., McLeroy, R.(1986). Self efficacy and health education. J School Health, 56(8),:317-321
  30. Liberman, R. P.(1986). Training skill in the psychiatrically disabled: Learning coping and competence. Schizophrenia Bulletin, 12(4),631- 647
  31. Liberman, R. P., Corrigan, P. W.(1993). Designing new psychosocial treatments for schizophrenia. Psychiatry, 56,238-249
  32. Liberman, R. P., DeRise, W. T., & Muser, K. T.(1989). Social skill training for psychiatric patients. New York: Pergamon
  33. Liberman, R. P., Foy, D. W.(1983). Psychiatric rehabilitation for chronic mental patients. Psychiatry Annual, 13,539
  34. Linden, M. L., Boeker, F. M.(1991). Information and consent in schizophrenic patients in long term treatment. Schizophrenia Bulletin, 7,645-647
  35. Razali, M. S., Yahya, H.(1995). Compliance with treatment in schizophrenia: A drug intervention program in a developing country. Acta Psychiatric Scandinavian, 91(5),:331-335
  36. Remington, G. J.(1995). The long term treatment of schizophrenia. Canadian J Psychiatry, 40(3) supple 1,3-4
  37. Schwartz, H. I.(1998). Autonomy and the right to refuse treatment: Patient's attitudes after involuntary medication. Hospital and Community Psychiatry, 39,1049-1054
  38. Schwarzer, R(1992). Self efficacy in the adoption and maintenance of health behaviors: theoretical approaches and a new model. Washington, D.C.:Hemisphere
  39. Shon, K. H., Park, S. S. (2002). Medication and Symptom Management Education Program for the Rehabilitation of Psychiatric Patients in Korea: The Effects of Promoting Schedule on Self-efficacy Theory. Yonsei Med J, 43(5), 579-589
  40. Weiden, P. J., Olfson, M.(1995). Cost of relapse in schizophrenia. Schizophrenia Bulletin, 21(3),419-429