The Effect of New Normal Self and Family Management Program on Relapse Preventive Behavior of Persons with Schizophrenia in Community.

Main Article Content

Parichat Yookong
Penpaktr Uthis
Mayteewat Chiddaycha

Abstract

Purpose: To study the effect of the new normal self and family management program on relapse prevention behavior of persons with schizophrenia in community.


Design: Quasi-experimental research.


Method: The sample were persons with schizophrenia in community and his/her family caregiver 42 families who met the inclusion criteria and received service at Psychiatric clinic King Chulalongkorn Memorial Hospital (TRCS). Divided into the experimental group and the control group, 21 families per group. Research instruments comprised of  1) The new normal self and family management program 2) questionnaire on relapse prevention behaviors of persons with schizophrenia 3) scale on self management ability of persons with schizophrenia and 4) scale on caregiver's self and patient management ability. All instruments were verified for content validity by professional experts.                Data  were analyze using descriptive statistics and t-test.


Result: Relapse prevention behavior of experimental group after received the new            normal self and family management program was significantly better than that before receiving the program at p .05 and Relapse prevention behavior of experimental group was significantly better than control group at p .05


Conclusion: Health workers should adopt the new normal self and family management program to promote relapse prevention behaviors among persons with schizophrenia in community.

Article Details

Section
Research articles

References

Reference

Lotrakul M, Sukanit P. Psychiatry Ramathibodi. 3rd ed. Bangkok: Swicharn press limited ;partnership; 2012. (in Thai)

Department of mental health data center. Report of patients receiving psychiatric services budget year 2020 [Internet]. 2019 [cited 2021 Jan 5]. Available from: https://www.dmh.go.th/report/datacenter/dmh/ (in Thai)

Chokdamrongsuk J. Guidelines for the care of chronic schizophrenic patients in the community for service level personnel Primary .1st ed. Bangkok: Saengchan press limited partnership; 2016. (in Thai)

Xiao J, Mi W, Li L, Shi Y, Zhang H. High relapse rate and poor medication adherence in the Chinese population with schizophrenia: results from an observational survey in the People's Republic of China. Neuropsychiatr Dis Treat 2015;11:1161-1167.

Lader M. What is relapse in schizophrenia. International Clinical Psychopharmacology 1995;9(5):5-9.

Stithyudhakarn S. Recurrence in patients with chronic schizophrenia: situation and prevention approaches. Journal of Nursing Science Chulalongkorn University 2015;28(3):1-15. (in Thai)

Khalil SA, Elbatrawy AN, Saleh NM, Mahmoud DAM. The burden of care and burn out syndrome in caregivers of an Egyptian sample of schizophrenia patients. International Journal of Social Psychiatry 2021;00(0):1-9.

Almond S, Knapp M, Clement F, Toumi M, Brugha T. Relapse in schizophrenia: costs, clinical outcomes, and quality of life. British Journal of Psychiatry 2004;184:346 – 351.

Meijel VB, Gagg VD M, Kahn SR, Grypdonck FHM. Relapse Prevention in Patients With Schizophrenia. Archives of Psychiatric Nursing 2003;17(8):117-125.

Eisner E, Barrowclough C, Lobban F, Richad D. Qualitative investigation of targets for and barriers to interventions to prevent psychosis relapse. BMC Psychiatry 2014;201(14):1-14.

Dixon L, McFarlane W, Hornby H, McNary S. (1999). Dissemination of family psychoeducation: The importance of consensus building. Schizophrenia Research;36:339.

Grey M, Schulman-Green D, Knalf K, Reynolds NR. A revised Self-and Family Management Framework. Nursing Outlook 2015;63(2):162-170.

Buasri Y, Deoisres W, Wacharasin C. Effects of self-and family management program on dietary behavior and blood sugar level among persons with type 2 diabetes [Master dissertation].Chonburi:Burapha University; 2018. (in Thai)

Digital Thailand. Most use social media platform [Internet]. 2020 [cited 2021 Jan 5]. Available from: https://library.coj.go.th/th/media/53795/media-53795.html (in Thai)

John AN, Kelly AA, Lisa AM, Gregory JM, Stephen JB. Facebook for Supporting a Lifestyle Intervention for People with Major Depressive Disorder, Bipolar Disorder, and Schizophrenia: an Exploratory Study. Psychiatric Quarterly 2018;89(1):81-94.

Hung YY, Chan HY, Pan YJ. Risk factors for readmission in schizophrenia patients following involuntary admission. PLoS One, 2017;12(10):1-11.

Piboonarluk W. Effect of health promotion program on relapse prevention behavior in schizophrenic patients. Journal of Somdet Chaopraya Institute to Psychiatry, 2010;4(1):1-9. (in Thai)

Uygur AB, Esen DA, Sizofreni HIO. Needs of Patients with Schizophrenia and Their Predictors. Turk Psikiyatri Derg 2019;30(3):180-190.