精神科日間留院病房生活適應團體之成效

Effects of Living Adaptation Group on Psychiatric Day Care Ward

本研究主要目的在探討精神科日間留院病房生活適應團體之成效，採「準實馬法」以立意取樣方式於北部某兩所醫學中心的精神科日間留院病房進行研究。研究者指定實驗組與對照組之醫院組別，由各院取樣符合條件的病友，全程參與且資料完整者各計7人，研究過程實驗組接受每週一次（每次50分鐘）之生活適應團體，團體進行的內容以精神病的疾病的認知、藥物的認知、服藥的態度及遵從醫囑服藥的護理指導與居家人際溝通和求職考量的單元主題為主，團體治療成效於活動前、後，以結構式問卷針對精神患者在疾病、藥物的認知、服藥的態度及遵從醫囑服藥意願測量之。資料以描述性、百分比、無母數Mann-Whitney等統計方法進行測試，其結果顯示：參加生活適應團體者對精神病患在疾病的認知、服藥的態度無統計顯著差異，但病患在藥物認知及對物副作用的認識則有統計上顯著的差異，且藉由團體活動的討論，能加強病患自我覺察其人際溝通的形式，進而應用較佳的溝通技巧和家人相處，避免衝突的產生，本結果臺提供精神健護理未來推廣活動之參考。The purpose of this study was to explore the effects of a living adaptation group in a psychiatric day care ward. A quasi-experimental design was used. Subjects were selected through purposive sampling of chronic psychosis patients in day care wards at two Taipei medical centers, and included a total of 7patients in each medical center. In the process the experimental group joined the living adaptation group once a week(50 mins/time). The group agenda included the cognition of illness and medication, the attitude towards medication, drug compliance, communication at home, and considerations in applying for a job. The effectiveness of the group was assessed by a structural questionnaire with pretest and posttest. Statistical analysis was performed using descriptive, percentage, and nonparametric Mann-Whitney methods. The results were as follows: The chronic psychosis patients practicing in the living adaptation group showed no significant change in the cognition of illness, and their attitude towards medication, but patients showed significant changes in cognition of medication, management the side effect, increased awareness for patient Self communication type. The result of this study can serve as a reference for psychiatric rehabilitation nursing.