Şizofreni Tanılı Bireylere Uygulanan Sağlıklı Yaşam Grup Eğitiminin Şizofreninin Pozitif, Negatif Belirtileri ve Şizofreni Tanılı Bireylerin Öznel İyileşme Değerlendirmeleri Üzerine Etkisi

Year 2022, , 1 - 10, 29.04.2022

Meltem Derya Şahin

https://doi.org/10.47493/abantmedj.1069336

Abstract

Amaç: Bu çalışmada; şizofreni tanılı bireylere uygulanan ve Muğla Toplum Ruh Sağlığı Merkezi (TRSM) çalışanları tarafından yapılandırılmış olan sağlıklı yaşam grup eğitim modülünün şizofreninin pozitif, negatif belirtileri ve şizofreni tanılı bireylerin öznel iyileşme değerlendirmeleri üzerine etkisini ortaya koymak amaçlanmıştır.

Gereç ve Yöntemler: Çalışmaya Muğla TRSM’de takipli şizofreni tanılı 30 katılımcı dahil edilmiştir. Katılımcılar 5 hafta boyunca haftada 1 kez 40’ar dakika süren grup görüşmelerine alınmış olup; grup eğitimi öncesi ve sonrasında katılımcılara Pozitif Belirtileri Değerlendirme Ölçeği (SAPS), Negatif Belirtileri Değerlendirme Ölçeği (SANS) ve İyileşme Değerlendirme Ölçeği (RAS-DS) uygulanmıştır.

Bulgular: Grup eğitiminin sonunda SANS dikkat alt ölçeği (p:0,057) dışında tüm alt ölçeklerde ve toplam ölçek puanında (tüm parametreler için p<0,05), SAPS toplam (p:0.041) ve hezeyan alt ölçeği puanlarında (p:0.030) anlamlı düzelme olduğu görülmüştür. Ayrıca RAS-DS ölçeği toplam ve tüm alt ölçek puanlarında anlamlı düzeyde artış meydana gelmiştir (tüm parametreler için p<0,05).

Sonuç: Sonuçlar, sağlıklı yaşam grup eğitim modülüne dahil olan katılımcıların hastalık belirtilerinde ve öznel iyileşme değerlendirmelerinde önemli ve olumlu yönde değişimler yaşadığını göstermiştir. Mevcut çalışma, şizofreni tanılı bireylere yönelik ruh sağlığı hizmeti planlanırken psikososyal müdahalelerin iyileşme sürecindeki değerine vurgu yapmaktadır.

Keywords

Sağlıklı Yaşam, Grup Terapisi, Psikoeğitim, Toplum Temelli Rehabilitasyon, Şizofreni

The Effect of Healthy Living Group Education Applicable to Individuals with Shizophrenia On Positive and Negative Symptoms of Shizophrenia and Assessments of Personal Healing of Individuals with Shizophrenia

Abstract

Objective: In this study, it was aimed to reveal the effect of the healthy life group training module, which was applied to individuals with schizophrenia and structured by the employees of Muğla Community Mental Health Center (CMHC), on the positive and negative symptoms of schizophrenia and the subjective recovery evaluations of individuals with schizophrenia.

Materials and Methods: Thirty participants with a diagnosis of schizophrenia followed in Muğla CMHC were included in the study. Participants were included in group interviews that lasted 40 minutes once a week for 5 weeks; before and after the group training, the Positive Symptoms Assessment Scale (SAPS), Negative Symptoms Assessment Scale (SANS) and Recovery Assessment Scale (RAS-DS) were administered to the participants.

Results: At the end of the group training, it was observed that there was a significant improvement in all subscales and the total scale score, except for the "SANS attention subscale" (p<0.05 for all parameters). Also, there was a significant improvement in SAPS total (p:0.041) and delusional subscale scores (p:0.030). In addition, there was a significant increase in the total and all subscale scores of the RAS-DS scale (p<0.05 for all parameters).

Conclusion: The results showed that the participants in the healthy life group training module experienced significant and positive changes in their disease symptoms and subjective improvement evaluations. The present study emphasizes the value of psychosocial interventions in the recovery process when planning mental health services for individuals with schizophrenia.

Keywords

Healthy Life, Group Therapy, Psycho-Education, Community-Based Rehabilitation, Schizophrenia

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