Çetin Nurdan, Aylaz Rukuye
Department of Mental Health Nursing, 2. Army Altay Military Barracks, Malatya 44280, Turkey.
Department of Public Health Nursing, School of Health, Inonu University, Malatya 44280, Turkey.
Arch Psychiatr Nurs. 2018 Oct;32(5):737-744. doi: 10.1016/j.apnu.2018.04.011. Epub 2018 Apr 25.
This research was conducted to determine the effect of mindfulness based psychoeducation program on insight and medication adherence of schizophrenia patients.
The study was conducted in a true experiment design with pre-test and post-test control groups. The study population consisted of 369 schizophrenic patients enrolled in Community Mental Health Centers located in Balıkesir and Eskişehir province centers. The sample consisted of 135 patients, 55 from experimental and 80 from control groups selected by randomized sampling. The data was collected between February and May 2016. The Descriptive Information Form, Beck Cognitive Insight Scale (BCIS) and Medication Adherence Rating Scale (MARS) were used. In the experimental group, the psychoeducation program was applied. Number, percentage, mean, standard deviation, chi-square, t-test in both dependent and independent groups, were used in the analysis of the data.
The mean post-test score of the Beck Cognitive Insight Scale was 4.89 ± 6.05 in the experimental group, 1.68 ± 5.67 in the control group and the difference between the mean scores was statistically significant (p < 0.05). The mean post-test score of Medication Adherence Ratıng Scale was 1.76 ± 0.42 in the experimental group, 1.50 ± 0.50 in the control group and the difference between the mean scores was statistically significant (p < 0.05).
It was determined that psychoeducation program was effective in increasing cognitive insight level and medication adherence of patients and can be used by nurses in addition to medication.
本研究旨在确定基于正念的心理教育项目对精神分裂症患者洞察力和药物依从性的影响。
本研究采用真实验设计，设有前测和后测对照组。研究对象为巴勒克埃西尔和埃斯基谢希尔省中心社区心理健康中心登记的369名精神分裂症患者。样本由135名患者组成，通过随机抽样从实验组选取55名，从对照组选取80名。数据于2016年2月至5月收集。使用了描述性信息表、贝克认知洞察力量表（BCIS）和药物依从性评定量表（MARS）。在实验组中应用了心理教育项目。数据分析采用了数字、百分比、均值、标准差、卡方检验以及独立组和相关组的t检验。
实验组贝克认知洞察力量表的后测平均分为4.89±6.05，对照组为1.68±5.67，平均分差异具有统计学意义（p<0.05）。实验组药物依从性评定量表的后测平均分为1.76±0.42，对照组为1.50±0.50，平均分差异具有统计学意义（p<0.05）。
确定心理教育项目在提高患者认知洞察力水平和药物依从性方面有效，护士除用药外也可采用该项目。
