만성조현병 환자를 대상으로 한 스트레스관리 프로그램의 효과

Effectiveness of Stress Management Programs for Patients with Chronic Schizophrenia

Purpose: The purpose of this study was to examine the effects of a stress management program on perceived stress, interpersonal relationship, self-esteem, and problem-solving ability for chronic schizophrenic patients. Methods: The participants comprised 50 male patients recruited from G Metropolitan City, who were divided into two groups of 25 each. They were randomly assigned to test and control groups, respectively, through convenience sampling. A stress management program was provided to the test group in over 11 sessions for six weeks from July 1 to August 5, 2018. Data were analyzed using Kolmogorov-Smirnov test, Chisquare-test, Fisher’s exact test, and independent t-test with the SPSS/ WIN 24.0 Program. Results: There were significant changes in perceived stress score (t=−2.37, p=.013), interpersonal relations score (t=3.44, p=.001) in the experimental group before and after treatment. Self-esteem score (t=1.61, p=.059) and problem solving ability score (t=1.38, p=.091) was no significant difference in score between the test and control groups. Conclusion: The results of this study indicate that the stress management program was effective in reducing perceived stress levels and improving personal relationship ability in patients with chronic schizo-phrenia. The findings suggest that stress management programs can be utilized as an efficient nursing intervention to preventsocial isolation and personal relationship dissolution in patients with chronic schizophrenia by lowering their stress levels and improving their personal relationships.