Saudi Journal of Nursing and Health Care (SJNHC)
Volume-4 | Issue-10 | 333-348
Original Research Article
Impact of Social and Cognitive Rehabilitation Program on Schizophrenic Patients: Pre & Post Study
Salha Eltayif Elsheikh Ahmed, Suheir A. M. Sayed, Fathia Hussein Mohammed Shabo
Published : Oct. 16, 2021
Abstract
Background: Rehabilitation program for schizophrenic patients is increasingly gaining attention in the field of psychiatry. It is still a relatively new intervention method in treatment for persistent and severe psychiatric illness. Objective: This study aimed to evaluate the impact of social and cognitive rehabilitation program on Male schizophrenic Patients. Methodology: A quasi- experimental design (pre-post study and follow-up) for one group, it covered forty nine schizophrenic inpatients in Abd Alaal El-Elidrissi Psychiatric Hospital, based on selected criteria, after developing and organizing rehabilitation program. Tools: Data collected through personal face to face interview and observation consists of four parts, socio demographic, PANSS, social skills and min mental state. A structured social and cognitive rehabilitation program was designed to improve symptoms, social skills and cognitive function. This program was implemented through training method such as paper and-pencil tasks, physical exercise, recreation therapy and psycho-education. Over126 sessions, nine sessions per week and each lasted for 60-90minutes.pre, post and follow-up (after 14weeks and after 9months) assessment were carried out for the same group. Study analyzed by using SPSS version 21software, supported by Wilcox on test, t test, and Spearman coefficient of Correlation. Results: There was significant change in psychopathology (Positive and Negative Syndrome Scale [PANSS]) and clearly; from fairly good pre to good post program (p-value = 0.013) and from good pre to good at follow-up program (p-value=0.04). There was significant improvement in social skills clearly; from 20.41% Moderates pre to 10.21% high at post and 46.94% moderate at follow-up intervention. On evaluation of the overall cognitive function’s domains scoring grade pre 95.92% mild to 2.04% normal at post and 26.53% normal at follow up test measurement. Conclusion: The study concluded that rehabilitation program for schizophrenic patients was effective in improving their psychopathology, social and cognitive functioning domains. Recommendations: The study recommended that; the rehabilitation program should be integrated into treatment regimen of schizophrenic inpatients.