The Effect of Psychoeducation Given In Psychiatry Day Hospital
Condition: Chronic Mental Disorder; Psychoeducation
MeSH terms: Mental Disorders; Psychotic Disorders
Study type: Interventional

Summary: 
      Background: Psychoeducation is a process used in the realization of the principles of
      treatment and rehabilitation of mental illnesses and aims to help the patient and his/her
      family outside the hospital, to help the patient cope with the problems, experiencing, and to
      support them to live productive lives in society.

      Aims: This study aims to determine the effect of psychoeducation, given in a psychiatry
      dayhospital, on patients' self-sufficiency and well-being.

      Methods: The research is a single-blind randomized controlled experimental study. The sample
      of the study consisted of 28 schizophrenic patient(14experiment-14control), who agreed to
      participate in the study, followed in XXX University Psychiatry Day Hospital. In the study,
      an 8-week psychoeducation program was applied to the experimental group, and no intervention
      was made tothe control group. Socio-demographic data form, self-sufficiency scale, and
      well-being scale were used as data collection tools. The data obtained were analyzed using
      theSPSS-23 package program.

      Results: After the eight-week psychoeducation program, the pretest and posttest scores of the
      evaluations obtained from the scales of both groups were compared. It was found that while
      there was no change in thescores of the control group, there was an increase in the
      well-being and self-efficacy scores of the experimental group. While the increase in
      well-being was statistically significant(p<0.05), the increase in self-sufficiency score
      wasnot statistically significant(p>0.05), but the numerical increase was considered tobe
      aclinically significant result.
    

Detailed description: 
      Mental illnesses cause deterioration in various areas of functionality such as personal care,
      family and social relations, communication, professional life, and leisure activities. Mental
      diseases that cause disability are common in society. Mental disorders such as depression,
      schizophrenia, bipolar disorder, obsessive-compulsive disorder are among the diseases that
      cause loss of ability.

      Rehabilitation services are important in order to support the adaptation of chronic mental
      patients to treatment outside the institution and to maintain their role in society.
      Self-sufficiency is one of the important issues to be addressed in chronic diseases that
      cause disability. Self-sufficiency refers to the individual's perception of the ability to
      successfully perform a certain action, the ability to control events, and the potential to
      accomplish a certain job. Individuals with high self-sufficiency set more difficult goals for
      themselves and make more efforts to achieve their goals. Since self-esteem is affected in
      mental disorders, self-sufficiency may be low.

      High self-sufficiency leads to an increase in well-being. It is very important for
      psychological well-being for the individual to realize their potential and live a happy life.
      In recent years, attention has been paid to the well-being of individuals with mental
      disorders. Research has found that high well-being reduces disease recurrences. Some studies
      have also found that well-being is associated with having a depressive mood and an inability
      to cope with stress.

      In psychological or physical diseases, educational intervention programs structured to teach
      people about their diseases and their emotional responses to the disease, to develop coping
      skills, to adapt to the disease, and to cooperate with treatment are defined as
      psychoeducation . The purpose of interventions is to teach individuals how to cope with their
      problems by creating knowledge and behavior changes, to help the patient to understand their
      own situation, to improve self-care activities, to prevent complications, to increase
      well-being and quality of life.

      Studies in the literature conducted with different groups reveal that psychoeducation
      increases psychological resilience and supports coping with stress and feeling good. There
      are studies examining the effectiveness of psychoeducation from different aspects given to
      psychiatric patients. However, there is no study examining the effect of psychoeducation to
      evaluate the well-being and self-sufficiency of individuals who are in the rehabilitation
      phase and receive psychiatric treatment. The findings to be obtained as a result of the study
      will make a significant contribution to the psychiatric care and monitoring provided in day
      hospitals and rehabilitation centers and will create a database for new studies.

      Purpose and hypotheses of the study This study was carried out to determine the effect of
      psychoeducation given in psychiatric day hospitals on the self-sufficiency and well-being of
      patients.

      H1 Psychoeducation given in the psychiatric day hospital increases the self-sufficiency of
      the patients.

      H2 Psychoeducation given in the psychiatric day hospital improves the well-being of the
      patients.
    

Intervention name(s): Psychoeducation
Intervention type(s): Other
Intervention description(s): Psychoeducation sessions were conducted by two psychiatric nurses (İK, SS) who are experts in their fields and have psychoeducation and group leadership certificates. Each session was held once a week in 30-45 minutes sessions. The training was carried out interactively; approximately the first 5 minutes were spent on warm-up, the basic information of that day's session was given for 25 minutes, and the last 10 minutes were in the form of questions and answers. Two separate groups were formed according to the day hospital program of the patients, and the psychoeducation program was carried out in two separate groups to conduct psychoeducation effectively.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: The research is a single-blind randomized controlled experimental study
Masking: Single (Participant)
Primary purpose: Supportive Care
Keywords: chronic mental disorder; self-sufficiency; well-being; psychoeducation; psychiatric nurse; Turkey