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Effects on Stress, Problem Solving Ability and Quality of Life of as a Stress Management Program for Hospitalized Schizophrenic Patients: Based on the Stress, Appraisal-Coping Model of Lazarus & Folkman
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Sun Ah Park, Kyung Mi Sung
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J Korean Acad Nurs 2016;46(4):583-597. Published online August 31, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.4.583
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 Abstract
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Purpose
The study was done to evaluate the effects a Stress Management Program (SMP) on stress, problem solving skills, and quality of life for hospitalized patients with Schizophrenia.
Methods
A mixed method design was used: a combination of a repeated-measure design with a non-equivalent control group and qualitative data collection. The participants were 40 patients with schizophrenia admitted in three psychiatric hospitals. The experimental group (n=20) received the SMP twice a week for a total of 8 weeks.
Results
Study results revealed that the SMP was effective for stress (F=321.02, p<.001), problem solving ability (F=246.28, p<.001), and quality of life (F=63.35,p<.001) for hospitalized persons with schizophrenia.
Conclusion
The results suggest that a SMP can be an effective strategy to reduce patients' hospitalization stress, and improve problem solving skills and quality of life. Therefore, it is recommended that mental health nurses use this stress management program in clinical practice to assist adaptation to hospitalization for persons with schizophrenia.
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Citations
Citations to this article as recorded by  - Factors that influence hospitalization stress in patients with chronic schizophrenia: A cross‐sectional study in psychiatric hospitals
Sumin Chai, Goun Kim
Journal of Psychiatric and Mental Health Nursing.2025; 32(1): 102. CrossRef - Iranian Muslim women's adaptation after mastectomy
Marzieh Beigom Bigdeli Shamloo, Nasrin Elahi, Aziz Shamsi
International Journal of Palliative Nursing.2024; 30(8): 451. CrossRef - The Structure of the Relationship between Physical Activity and Psychosocial Functioning of Women and Men during the COVID-19 Epidemic in Poland
Anna Mazur, Elżbieta Bartoń
International Journal of Environmental Research and Public Health.2022; 19(19): 11860. CrossRef - Effects of the Integrated Stress Management Program on Stress and Depression in Psychiatric Inpatients
Ji Eun Kim, Myung Sill Chung, Mi Sook Kwon, Sunah Kang, Jain Ko, Hyeon A Kang, Mi Hui Seo, Young Ok Song, Yoonyoung Nam
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(3): 226. CrossRef - The symptoms, resourcefulness and quality of life in community‐based patients with schizophrenia
Ching‐Yun Yu, Chien Yu Lai, Yu‐Shan Chang, Ching‐Kuan Wu, Feng‐Chin Chung
Journal of Clinical Nursing.2019; 28(19-20): 3582. CrossRef - Development and evaluation of a Communication Enhancement Program for People with Chronic Schizophrenia: A quasi-experimental pretest-posttest design study
Younghee Park, KuemSun Han
Applied Nursing Research.2018; 42: 1. 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 an Acceptance-Commitment Therapy Based Stress Management Program on Hospitalization Stress, Self-Efficacy and Psychological Well-Being of Inpatients with Schizophrenia
Jae Woon Lee, Jae Hyun Ha
Journal of Korean Academy of Nursing.2018; 48(4): 443. CrossRef
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Development of a Measurement of Stress for Hospitalized Schizophrenic Patient
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Sun Ah Park, Kyung Mi Sung
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J Korean Acad Nurs 2014;44(3):339-349. Published online June 30, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.3.339
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Abstract
PDF
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Purpose
This study was done to develop a measurement for stress experienced by patients with schizophrenia during hospitalization.
Methods
The preliminary tool was developed through in-depth interviews and a validity verification test of content. For data collection, 15 inpatients with schizophrenia were selected as participants for in-depth interviews and 195 patients admitted to one of eight psychiatric hospitals in four provinces were recruited as participants to test reliability and validity of the preliminary tool.
Results
The questionnaire was developed as a four-point Likert-type scale in a self-report form with 28 items. Factor analysis showed 28 items in six factors. Factors were named 'Unjust human rights infringement', 'Futureless life', 'Alienation from other family members', 'Infringement of basic needs', 'Infringement of personal preference' and 'Inconvenience of shared living'. The six factors explained 63.5% of the total variance. Cronbach's alpha for the total items was .93 and for the factors ranged from .65 to .87.
Conclusion
A tool to measure stress in patients hospitalized with schizophrenic was developed based on identified hospitalization stress experiences. Study results indicate that this tool can be used to evaluate hospitalization stress in these patients and will contribute to establishing nursing interventions for relief of hospitalization stress.
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Citations
Citations to this article as recorded by - Factors that influence hospitalization stress in patients with chronic schizophrenia: A cross‐sectional study in psychiatric hospitals
Sumin Chai, Goun Kim
Journal of Psychiatric and Mental Health Nursing.2025; 32(1): 102. CrossRef - Development and Effectiveness of a Foot Care Program for Patients with Schizophrenia Hospitalized During Psychiatric Care: A Mixed-Methods Study
Min Ji Jeong, Hyo Ja An
Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 393. CrossRef - Development of a Self-Reported Communication Competence Questionnaire for Patients with Schizophrenia
Eun Ju Song, Sook Kyoung Park, Yun Bok Kwak
Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 388. CrossRef - Effects of the Integrated Stress Management Program on Stress and Depression in Psychiatric Inpatients
Ji Eun Kim, Myung Sill Chung, Mi Sook Kwon, Sunah Kang, Jain Ko, Hyeon A Kang, Mi Hui Seo, Young Ok Song, Yoonyoung Nam
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(3): 226. CrossRef - An Integrative Literature Review of Quality of Life Intervention Programs for Patients with Schizophrenia
Go-Un Kim, Eun Young Jung
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(1): 28. CrossRef - The Effects of an Acceptance-Commitment Therapy Based Stress Management Program on Hospitalization Stress, Self-Efficacy and Psychological Well-Being of Inpatients with Schizophrenia
Jae Woon Lee, Jae Hyun Ha
Journal of Korean Academy of Nursing.2018; 48(4): 443. CrossRef - Schizophrenic Patients' Perception and Nurses' Estimation of the Stress during Hospitalization in Psychiatric Ward
ByungJun Kim, Sookbin Im
Korean Journal of Stress Research.2017; 25(3): 201. CrossRef - Effects on Stress, Problem Solving Ability and Quality of Life of as a Stress Management Program for Hospitalized Schizophrenic Patients: Based on the Stress, Appraisal-Coping Model of Lazarus & Folkman
Sun Ah Park, Kyung Mi Sung
Journal of Korean Academy of Nursing.2016; 46(4): 583. CrossRef - A Study on Stress, Coping Skill, Suicide Risk and Suicidal Ideation according to Treatment Phases of Hospitalized Patients with Schizophrenia
Jin Hee Ham, Kyung Mi Sung
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(4): 338. CrossRef
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