The Effects of A Self - Management Program on The Functioning of Patients With Bipolar Disorder Undergoing The Recovery Stage
Keywords:
functioning, patients with bipolar disorder, self-managementAbstract
The purpose of this quasi-experimental research was to determine the effects of a self-management program on the functioning of patients with bipolar disorder during the recovery stage. The sample consisted of 72 patients with bipolar disorder aged between 20 and 59 years, recruited using inclusion criteria, and paired based on age. Then each pair was assigned to the control or the experimental group, with 36 patients in each group. The experimental group participated in the self-management program. Their activities comprised 6 sessions, each session lasting 100 minutes, once a week for 6 weeks. The control group received normal nursing care. The research instruments were the following: 1) the self-management program, which passed an examination for content validity by 3 professional experts; 2) the functioning assessment short test (FAST); and 3) the Young mania rating scale: Thai version. The reliability of these questionnaires were determined with a Cronbach’s alpha coefficient of .93 and .82 respectively. The data were analyzed using descriptive statistics and t-test.
The results found as follow: (1) The experimental group, participants had mean functional scores post test participating in the self - management program higher score than pre test (pre-test; M = 52.72, SD = 6.76 and post test; M = 64.31, SD = 6.09) the functional higher scores was significantly (t=16.83, p < .001). (2) The mean difference of the patients’ functioning between the pretest and posttest in the experimental group that participated in the self-management program (E = 11.58, SD = 4.13) was higher scores than the control group that received normal nursing care (C = 6.08, SD = 4.99) significantly (t = 16.37, p <.001).
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