ID 109630
Title Transcription
タイイン オ ノゾマナイ チョウキ ニュウイン トウゴウ シッチョウショウ カンジャ ニ タイスル チイキ セイカツ ノ ジシン カクトク ニ ムケタ コンコーダンス スキル オ カツヨウ シタ カンゴ メンセツ ノ コウカ
Title Alternative
Effectiveness of nursing interviews using concordance skills aimed at acquisition of self-confidence toward community life for long-stay patients with schizophrenia not wishing to be discharged
Author
Kataoka, Mika Department of Mental Health, Institute of Health Biosciences, the University of Tokushima Graduate School KAKEN Search Researchers
Tanioka, Tetsuya Department of Nursing Management, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Tomotake, Masahito Department of Mental Health, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Mifune, Kazushi Department of Psychiatry, Mifune Hospital
Keywords
Concordance skills
Nursing interview
long-stay patients with schizophrenia not wishing to be discharged
Content Type
Journal Article
Description
In the present study, we conducted nursing interviews using concordance skills (CS interviews) aimed at acquisition of self-confidence toward community life for two long-stay patients with schizophrenia who did not wish to be discharged from psychiatric hospital, and evaluated the effectiveness of CS interviews. Case A was a woman in her 70s who was diagnosed with schizophrenia at around age of 17 years and had been institutionalized for approximately 30 years since her ninth admission. Case B was a man in his 30s who was diagnosed with schizophrenia at around age of 22 years and had been admitted 15 times due to auditory hallucination, delusions, suffers a relapse, has been in hospital for two years and six months since his latest admission. As a result of interviews, scores on the Self-Efficacy for Community Life Scale improved from 150 to 160 points for Case A and from 66 to 82 points for Case B. In the Case A, the Global Assessment of Functioning (GAF) score was 35 with no changes before and after intervention. In the case B, GAF score improved from 25 to 35, before and after six months intervention. These findings suggest that CS interviews are effective for promoting self-confidence toward community life among long-stay patients and useful for providing support without exacerbating the severity of psychiatric symptoms or functional level of long-stay patients during the stage in which they nurture the dreams and hopes to be discharged.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
69
Issue
3-4
Start Page
157
End Page
164
Sort Key
157
Published Date
2013-08-25
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences