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Journal presentation psy schiozophrenia

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  • There is no significant difference in self care ability b/w control group and experimental group since ‘p’value is <0.05 in all four dimension. 01/30/13
  • Before SAP intervention ….There is no significant difference in self care ability b/w control group and experimental group since ‘p’value is <0.05 in all four dimension 01/30/13
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    • 1. JOURNALPRESENTATION  Presented by:-Mr. Suresh Kumar Sharma  F.Y. MSc Nursing Student Submitted To:- Mrs. Nisha deshpande Principal,BVSON
    • 2. Problem statement:-“TO ASSESS THEEFFECTIVENESS OfSTRUCTURED ACTIVITYPROGRAMME ON THE LEVEL OFSELF CARE ABILITY ONPERSONAL HYGIENE OFPATIENTS DIAGNOSED WITH N. Padmavathi, Dr. k lalitha, Dr. R. parthasarathySCHIZOPHRENIA.”Msc Nursing and clinical instructor Nimhans , banglore Journal of NRSI - april-may(2011), vol. 4, issue 1
    • 3. IntroductionSchizophrenia:-It is a psychotic condition characterize by disturbances in thinking, emotions and behavior in the presence of clear consciousness, which usually leads to social withdrawal.
    • 4. AIM:- TO Prepare structured activity programme and evaluate its effectiveness on the level of self care ability on personal hygiene for patients diagnosed with schizophrenia. 01/30/13
    • 5. OBJECTIVE Toassess the level of self care ability on personal hygiene of patients with schizophrenia. To find out the effectiveness of structured activity programme on the level of self care ability on personal hygiene seen among patients with schizophrenia.
    • 6. Hypothesis H0:- there will be statistically no significant difference in the level of functional ability between experimental group and control group before and after implementation of structured activity programme.
    • 7. Research approach:-true experimental approach. Research design:- pre test and post test design with control group. Settings:- In patients female open general ward as well as closed ward at NIMHANS, BANGLORE. POPULATION:-FEMALE PATIENTS WHO WERE DIAGNOSED WITH SCHIZOPHRENIA.
    • 8. Sample size- 30 PATIENTS  15 Control group & 15 Experimental group Sampling technique:- MULTIPHASE SIMPLE RANDOMv SAMPLING.v PATIENTS WHO MET THE SELECTION CRITERIA COTROL GROUP – PATIENTS FROM CLOSED FEMALE WARD EXPERIMENTAL GROUP- PATIENTS
    • 9. INCLUSION CRITERIA Patients with schizophrenia All sub types of schizophrenia Only FEMALE Patients admitted first time in NIMHANS. Duration of illness >6 months Age 18-60 yrsEXCLUSION CRITERIA:- Patients with co-morbid condition like alcoholism, MR etc. Patients with acute symptoms. 01/30/13
    • 10. TOOLS Part-1 socio-demographic data sheet Name, age, religion, habitat, education, occupation, marital status, family status, family income, diagnosis, duration of illness & handicap. Part-2 rating scale for functional assessment 5 point rating scale raging from 0-4. Maximum- 176 & minimum- 0. Higher the score High self care ability. Tools had been pilot tested and found to be feasible, practical, and suitable for study. 01/30/13
    • 11. Data collection procedure Permission from concerned authorities. Written informed consent from care giver/ staff Incharged. After collection of pre-test data implementation of SAP. 12 session on personal hygiene activities such as brushing, teeth, eating, nail care & hair care. Each activity 3 days. Skill training & lecture method by using video tap & ppt slides. 01/30/13
    • 12. Data analysis-1. MANN WHITNEY U test- Compare the score b/w the group. Non-parametric test Equivalent of independent sample ‘t’ test.2. WILICOXON SIGNED RANKS TEST Compare the score within the group. Non-parametric test Equivalent of paired ‘t’ test. 01/30/13
    • 13. Major findings of the study:- Dimension wise comparison of pre test score on self care ability on personal hygiene between the experimental group and the control group at baseline. N=30 Table-1Dimension Experimental Control group Z-value P- group(n=15) (n=15) value MEAN SD MEAN SDBrushing 10.93 4.62 13.13 5.49 -1.125 0.261teeth(D1)Eating (D2) 7.93 4.85 12.20 7.18 -1.66 0.096Nail care(D3) 3.80 3.69 5.47 6.61 -0.336 0.737Hair care(D4) 11.80 6.65 12.73 6.64 -0.021 0.983 01/30/13
    • 14. Dimension wise comparison of pre test and post test score on self care ability on personal hygiene Within the experimental group . N=30 TABLE- 2Dimension Pre test Post test improve Z-value P- ment value MEAN SD MEAN SDBrushing 10.93 4.62 33.80 4.02 22.9 -3.412 0.001teeth(D1)Eating (D2) 7.93 4.85 31.47 5.22 23.5 -3.410 0.001Nail care(D3) 3.80 3.69 29.80 5.99 26.0 -3.415 0.001Hair care(D4) 11.80 6.65 31.40 5.68 19.6 -3.411 0.001  Improvement in self care ability and statically significant at p=0.001. 01/30/13
    • 15. Dimension wise comparison of pre test and post test score on self care ability on personal hygiene Within the control group . N=30 TABLE- 3Dimension Pre test Post test improve Z-value P- ment value MEAN SD MEAN SDBrushing 13.13 5.49 22.33 5.37 9.2 -3.413 0.001teeth(D1)Eating (D2) 12.20 7.18 18.40 6.08 6.2 -3.306 0.001Nail care(D3) 5.47 6.61 12.13 6.52 6.7 -3.417 0.001Hair care(D4) 12.73 6.64 20.33 6.32 7.6 -3.424 0.001  Improvement in self care ability compare to pre test and post test. 01/30/13
    • 16.  . Dimension wise comparison of post test score on self care ability on personal hygiene between the experimental group and the control group. N=30 Table-4Dimension Experimental Control group Z- P- group(n=15) (n=15) value value MEAN SD MEAN SDBrushing 33.80 4.02 22.33 5.37 -4.305 <0.001teeth(D1)Eating (D2) 31.47 5.22 18.40 6.08 -4.323 <0.001Nail care(D3) 29.80 5.99 12.13 6.52 -4.339 <0.001Hair care(D4) 31.40 5.68 20.33 6.32 -3.931 <0.001 Highly significantly difference in level of self care ability in post test score b/w expermental group and control group since ‘p’ value was 01/30/13
    • 17. Major findings:- Even both group had improvement in all four dimensions, but the experiment group had significant improvement than the control group. Dimension wise comparison of post test score b/w experimental & control group showed that SAP Is significantly improved the self care ability of subject in experimental group. So null hypothesis was rejected. 01/30/13
    • 18. conclusionStudy was carried out to assess the effectiveness of structured activity programme on the level of self care ability on personal hygiene of patients diagnosed with schizophrenia.Finding showed that SAP improved the self care ability on personal hygiene.The intervention package would provide significant implication on field of education, practice & research.
    • 19. REFERENCESBhugra, D.(2005). The global prevalence of schizophrenia.Plos medicine ,2(5) ,372-373. Plante T G. SOCIAL skills training; a programme to help schizophrenic client cope. Journal of psychosocial nursing and mental health services 1989; 27(3)- 6-10. Robert KH, liberman RP, Alex Kopehwic. Psychosocial skill training for schizophreniac: lesson from the laboratory schizophrenia bulletin . 2000;26(1): 21-46 World health organization. World health report . Mental health : new understanding, new hope. Geneva.2001
    • 20. Thank you