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Effects of a Relapse Prevention Program on Insight, Empowerment and Treatment Adherence in Patients with Schizophrenia
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Jaewon Joung, Sungjae Kim
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J Korean Acad Nurs 2017;47(2):188-198. Published online April 28, 2017
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DOI: https://doi.org/10.4040/jkan.2017.47.2.188
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 Abstract
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Purpose
The purpose of this study was to develop a relapse prevention program (RPP) and examine the effects of the RPP on insight, empowerment, and treatment adherence in patients with schizophrenia.
Methods
A non-equivalent control group pretest-posttest design was used. Participants were 54 inpatients who had a diagnosis of schizophrenia (experimental group: 26, control group: 28). The study was carried out from February 7, 2012 to February 6, 2013. Over a 10-day period prior to discharge each participant in the experimental group received three one-hour sessions of RPP a one-to-one patient-nurse interaction. Data were collected using Assess Unawareness of Mental Disorder (SUMD), Empowerment Scale, and Insight and Treatment Attitude Questionnaire (ITAQ) and analyzed using PASW 18.0 with chi-square test, independent t-test, Mann-Whitney U test, and ANCOVA.
Results
The experimental group had a significant increase in insight and treatment adherence compared to the control group. However, there was no significant difference in empowerment between the two groups.
Conclusion
Findings indicate that the RPP for patients with schizophrenia was effective in improving insight and treatment adherence. A longitudinal study is needed to confirm the persistence of these effects of RPP in patients with schizophrenia.
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Citations
Citations to this article as recorded by  - Effects of a nonviolent communication-based anger management program on psychiatric inpatients
Jiyeon Kim, Sungjae Kim
Archives of Psychiatric Nursing.2022; 41: 87. CrossRef - Effects of Adherence to Pharmacological Treatment on the Recovery of Patients with Schizophrenia
Alejandra Caqueo-Urízar, Alfonso Urzúa, Patricio Mena-Chamorro, Josefa Bravo de la Fuente
Healthcare.2021; 9(9): 1230. CrossRef - Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia
Jae Woon Lee, Hyun Sook Park
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(4): 342. CrossRef - Effects of an Empowerment Program for Patients with Schizophrenia
Ju Hyun Woo, Ji Hye Jang, Jeong Hee Cho
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(2): 123. CrossRef - The Effects of Group Motivational Interviewing Compliance Therapy on Drug Attitude, Medicine Application Self-efficacy and Medicine Application in Psychiatric Patients
Dawoon Lee, Sungjae Kim
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(4): 391. CrossRef
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Difficulties in Caring for Psychiatric Patient as Experienced by Non-Psychiatric Nurses
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Jaewon Joung, Mi Young Jang, Jihyun Shim, Yoonhi Ko, Sung Hee Shin
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J Korean Acad Nurs 2017;47(1):49-59. Published online February 28, 2017
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DOI: https://doi.org/10.4040/jkan.2017.47.1.49
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Abstract
PDF
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Purpose
The purpose of this study was to identify non-psychiatric nurses' difficulties in caring for patients with mental illness.
Methods
Data were collected from eighteen general medical-surgical nurses working at a university hospital in Seoul, Korea. This study involved two focus group discussions and three in-depth individual interviews. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis.
Results
General medical-surgical nurses experienced difficulties in 3 categories, 9 subcategories, 27 codes. The three categories were ‘nurse’ related factors, ‘patient’ related factors, ‘resource’ related factors. The nine categories were ‘unpreparedness’, ‘nursing barriers due to stigma’, ‘undervaluing and avoidance of psychiatric nursing’, ‘eroding into the trap of a vicious cycle’, ‘facing unapproachable patients’, ‘dealing with unhelpful family members’, ‘burdening already overburdened staff’, ‘obstructive environment’, and ‘isolation of staff with heavy responsibilities’.
Conclusion
The results of this study indicate the need to develop psychiatric mental health education programs for non-psychiatric nurses. Education about psychiatric mental health and support from institutions for non-psychiatric nurses can reduce their negative attitude toward psychiatric patients and difficulties in caring for psychiatric patients.
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Citations
Citations to this article as recorded by - Auditory hallucinations simulation in mental health nursing education: a scoping review
Mauro Parozzi, Mattia Bozzetti, Paolo Ferrara, Stefano Mancin, Anne Destrebecq, Marco Sguanci, Andrea Gazzelloni, Claudia Fantuzzi, Maura Lusignani, Stefano Terzoni
Teaching and Learning in Nursing.2025; 20(1): e175. CrossRef - Effects of a Narrative Therapy Training Program Utilizing MetaverseZEP for Psychiatric Mental Health Nurses
Jina Shin, Hee Sook Kim
Journal of Korean Academy of psychiatric and Mental Health Nursing.2025; 34(1): 79. CrossRef - Daily experiences of non‐psychiatric nurses in acute psychiatric wards
Mphedziseni Esther Rangwaneni, Ndidzulafhi Selina Raliphaswa, Mary Maluleke, Thingahangwi Cecilia Masutha
Nursing Open.2024;[Epub] CrossRef - A model for the involvement of service users as instructors into the psychiatric nursing curriculum in Korea: A qualitative study on participation experience
Suyoun Ahn, Soyoung Shin, Jaewon Joung
International Journal of Mental Health Nursing.2024; 33(4): 917. CrossRef - ‘We are working in specialty units’—An exploratory qualitative study
Mphedziseni Esther Rangwaneni, Ndidzulafhi Selina Raliphaswa, Mary Maluleke, Vusiwana Patricia Letlalo, Thingahangwi Cecilia Masutha, Duppy Manyuma, Langanani Makhado, Tinyiko Nelly Rikhotso
Nursing Open.2024;[Epub] CrossRef - Educational Needs for Psychiatric Nursing Competencies among Non-Psychiatric Nurses
Min-Ki Son, Suk-Sun Kim
Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(2): 146. CrossRef - The Process of Home-Visiting Nurses Supporting People with Mental Disorders
Fumi Ohtake, Maiko Noguchi-Watanabe, Kumiko Morita
International Journal of Environmental Research and Public Health.2023; 20(21): 6965. CrossRef - Investigation of the Relationship Between Psychiatry Visit and Suicide After Deliberate Self-harm: Longitudinal National Cohort Study
Hye Hyeon Kim, Chanyoung Ko, Ji Ae Park, In Han Song, Yu Rang Park
JMIR Public Health and Surveillance.2023; 9: e41261. CrossRef - Effects of a mental health nursing simulation for general ward nurses: A pilot study
Min‐Yeong Lee, Yun‐Jung Choi
Nursing Open.2023; 10(5): 3432. CrossRef - Validity and Reliability of the Depression Attitude Questionnaire: Korean Version
Kyung Mi Park
Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 318. CrossRef - Affecting Factors on Discriminatory Behavior toward Mentally Disabled in the Nursing Students
Jeong-Eon PARK
JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(4): 969. CrossRef - Experiences of Psychiatric Nurses Who Care for Patients with Physical and Psychological Violence: A Phenomenological Study
In Ok Sim, Kyoung Min Ahn, Eun Jeong Hwang
International Journal of Environmental Research and Public Health.2020; 17(14): 5159. CrossRef - Validity and reliability of Korean version Competency Assessment Tool-Mental Health
Hyun Mee Cho, Jeong Won Han, Eun Joung Choi, Hyo Eun Jeong, Bo Ram Hong, Eun Yong Kim
Frontiers of Nursing.2020; 7(2): 143. CrossRef - Influence of Symptom Awareness and Nursing Competency on the Burden of Nursing Care for Patients with Mental Illness by General Ward Nurses
Seung Hee Kim, Kuem Sun Han
Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(3): 264. CrossRef - A constructivist grounded theory of generalist health professionals and their mental health work
Scott Brunero, Lucie M. Ramjan, Yenna Salamonson, Daniel Nicholls
International Journal of Mental Health Nursing.2018; 27(6): 1816. CrossRef - Care Burden for Mental Illness Patients, Attitude toward Mental Illness and Psychiatric Nursing Competency in Non-psychiatric Nurses
Mi Young Jang, Sung Hee Shin
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(1): 55. CrossRef - Development of Health Assessment Tool for Middle-aged Adults in Long-term Care Settings
Yoon-Jin Park, Nam Cho Kim
The Korean Journal of Rehabilitation Nursing.2017; 20(1): 1. CrossRef
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