Outcome of Self Management Support on Conative Behaviour of Patients with Psychosis-A Randomized Block Design
Subscribe/Renew Journal
Context: Self Management Support is the care and encouragement provided for patients with psychosis to carry out the activities of daily living.
Aim: To find out the outcome of self management support on conative behaviour of patients with psychosis.
Design and Setting: Randomized block design was used to conduct the study at Government Head Quarters Hospital, Erode, Tamil Nadu.
Methods and Material: Simple random sampling technique was used for selecting 40 samples, 10 in each experimental group. Self management support on bathing and behaviour chart was given for male and female patients in experimental group I and III; bathing was given for male and female patients in experimental group II and IV. The tools used were demographic variables and Conative Behaviour Assessment Rating Scale.
Statistical analysis used: Frequency, Percentage, Mean, Standard deviation, Randomized Block Design ANOVA and Chi-square test were used to analyze the data.
Results: Findings of the study depicts that Randomized block design ANOVA tested the F1ratio (Male) value which was (3.14) for the experimental group I and II and F2ratio (Female) value was (4.72) for the experimental group III and IV. When compared with male patients, female patient’s conative behaviour had improved after the implementation of Self Management Support. Significant association was found between posttest scores on conative behaviour and the demographic variable with diagnosis in experimental group I.
Conclusion: Self management support is an effective intervention for the male and female psychosis patients.
Keywords
- Roxanne Dryden-Edwards, MD. Medicine Net.com. 2014: 1
- Schunk D, Zimmerman B. Self-regulation of learning and performance: Issues and educational applications. Hillsdale, NJ: Erlbaum 1994
- Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the chronic care model in the new millennium. Health Affairs 2009; 28:75
- Polit and Beck. Nursing research- Generating and assessing evidence for nursing practice”, (8th ed). Philadelphia: Lippincott Publishers. 2008; 262
- Yuhas, Daisy. Throughout History, Defining Schizophrenia Has Remained a Challenge (Timeline). Scientific American Mind 2013
- Murray, Robin, Hill P. D, McGuffin P. The essentials of postgraduate psychiatry. Cambridge University 1997: 231
- Fusar Poli, P, Deste G, et.al. Cognitive functioning in prodromal psychosis: a meta-analysis. Arch Gen Psychiatry 2012. 69 : 562– 71
- Brown EC, Tas C, Brüne M. Potential therapeutic avenues to tackle social cognition problems in schizophrenia. Expert Rev Neurother 2012. 12 :71–81
- Cardinal R.N, Bullmore E.T. The Diagnosis of Psychosis, Cambridge University Press, 2011
- Curran C. Stimulant psychosis: systematic review. British Journal of Psychiatry 2004
- Bagozzi R. The self-regulation of attitudes, intentions, and behavior. Social Psychology Quarterly 1992; 55: 178–204.
- Sabini. Goal-directed behavior: Psychological theory and research on action. Hilldale, NJ: Lawrence Erlbaum Associates. 134–159
- Hershberger W.A. Psychology as conative science. American Psychologist 1988; 43: 823–824
- Hilgard E.R. The Trilogy of the mind: Cognition, affection, and conation. Journal of the History of Behavioral Sciences 1980; 16:107–117
- Kanfer R. Conative processes, dispositions, and behavior: Connecting the dots within and across paradigms 1988
- Lundholm H. Conation and our conscious life. Durham, NC: Duke University Press 1934
- Miller G. The conative mind: Volition and action. University Waterloo:Waterloo, Ontario, Canada 2003
- Poulsen H. Conations: On striving, willing and wishing and their relationship with cognition, emotions and motives. Aarhus, Denmark: Aarhus University Press 1991
- Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: A review. Patient Education and Counseling 2002; 48 :177–187
- Lian van der Krieke, et.al. E–Mental Health Self-Management for Psychotic Disorders: State of the Art and Future Perspectives. Psychiatric Services 2014
- Battersby M, Von Korff M, Schaefer J, Davis C, Ludman E, Greene S.M, Wagner E.H. Twelve evidence-based principles for implementing self-management support in primary care. Joint Commission Journal on Quality and Patient Safety 2010; 36: 561–570.
- Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. Journal of the American Medical Association 2002; 288: 2469–2475.
- Registered Nurses’ Association of Ontario. Clinical best practice guidelines: Strategies to support self-management in chronic conditions: Collaboration with clients 2010
- Chan SW, Li Z, Klainin-Yobas P, Ting S, Chan MF, Eu PW. Effectiveness of a peer-led self-management programme for people with schizophrenia: protocol for a randomized controlled trial. J Adv Nurs. 2014; 70: 1425-35
- US Department of Health and Human Services, Agency for Healthcare Research and Quality. Patient self-management support programs: an evaluation 2007
Abstract Views: 221
PDF Views: 0