الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Relapse in schizophrenia remains common and cannot be entirely
eliminated even by the best combination of biological and psychosocial
interventions Relapse in schizophrenia is a major clinical event and commonly
affects the personal and social functioning of the person. Moreover, relapses are
associated with a high economic burden. Psychiatric services and mental health
service staff are particularly challenged to recognize and deal with reality of
relapse behavior and to examine their attitude and perceptions of this problem.
They also need to increase their knowledge and develop most effective skills in
working with releasers’, their family members and those significant people
immediately affected by the relapsing person’s behavior.
This study aimed to develop psycho educational program for prevention of
relapse among the schizophrenic patients and evaluate the effectiveness of the
psycho educational program on the prevention of relapse among the
schizophrenic patients. The research hypothesizes that the program will improve
patient’s knowledge about schizophrenia the importance of drug compliance for
relapse prevention.
The study was conducted at the Psychiatric Mental Health Hospital at
Benha City which is affiliated to Secretariat The subject included 60
schizophrenic patients (45 male and15 female). The target population of this
study consists of convenient patients who will be included according to the
following inclusion criteria:-
1. Diagnosed as schizophrenic
2. The last patient’s admission not less than 6 months.
3. Able to communicate
4. Willingness to participate in the study.Exclusion criteria:-Patients will be excluded if:
1- They have organic brain disorder or mental retardation.
2- Alcohol or drug abuse accompanied by serious communication or
behavioral problems.
To collect data of this study, the following tools were used:-
Tool One: Structured interview questionnaire which consists of three
parts:
Part one includes: Socio-demographic and clinical data
questionnaire:
A-Socio-demographic data: to elicit data about the patients
characteristics such as age, sex, marital status, level of education, occupation,
type of occupation and residence.
B- Clinical data: which included; date of last admission, mode of last
admission, number of previous admissions, age at the beginning of disease and
relationship between patient and affected family member.
Part Two: Knowledge about schizophrenia :-
It will be developed by the researcher based on literature review, the
questionnaire include close ended questions and the patients will be asked to
respond to these questions, it include: definition of schizophrenia, causes, signs
and symptoms, and methods treatment , types of drugs, side effects of these
drugs, methods of coping with these side effects.
Part three: - Knowledge about relapse: which included definition of
relapse, causes, early warning signs of relapse, methods of prevention and ways
of coping with stress, delusion, and hallucinations.
Tool two: Drug Attitude Inventory; (DAI-30) (Hogan et al, 1983):
The DAI consists of a questionnaire that is completed by the patient. It included
a series of questions, each with true/false answers, pertaining to various aspects
of the patient’s perceptions and experiences of treatment.Tool Three: The Psychoeducational intervention program to prevent
relapse among the schizophrenic patients
Psycho education about schizophrenia, early warning signs and symptoms
of relapse and relapse prevention which will be carried out in the form of
sessions.
The findings of the study can be summarized in the following
o According to socio- demographic characteristic of the studied patients, the
findings pointed out that two thirds of them were male and more than half of
them were single not married( 75.0% , 58.3% respectively).
o According to clinical data of the studied patients, the finding revealed that
more than half of them were hospitalized more than one time 58.3%, and
regarding to relationship with affected patient in the family, nearly two
thirds of them had no relationship 70.0%.
o Concerning the studied patients ability to recognize the symptoms leading to
of their hospitalization, the findings demonstrated that auditory, visual
hallucination, delusions, lack of insight and drug non-compliance were the
most common symptoms of hospitalization.
o Regarding patient`s insight, the finding revealed that more than three
quarters (78.33%) of the studied schizophrenic patients had no insight about
their illness
o In relation to the knowledge of the schizophrenic patients about
schizophrenia, the results illustrated that there is a highly significant
differences between their knowledge ino Considering the knowledge of the schizophrenic patients about relapse, the
results revealed that there is severe lack of knowledge of the schizophrenic
patients about relapse and that there is a highly significant differences
between their knowledge in pre, post and follow up program implementation
as at p value <0.001.
o Regarding attitude of the studied schizophrenic patients toward drug
compliance , the results revealed that there is a highly statistical significant
difference between patients’ attitude toward compliance before, immediately
and 3 months after program implementation as P-value<0.05.
o As regards to relation between socio-demographic characteristics and
patient’s knowledge about schizophrenia and relapse, the results illustrated
that, there is significant relationship between educational level and patient’s
knowledge about schizophrenia and relapse as p value <0.05.
o Concerning to relation between socio-demographic characteristics and
patient’s attitude toward DAI, the results illustrated that, there is no
significant relationship as p value >0.05.
o A highly positive significant correlation coefficients between patient’s
knowledge about schizophrenia and relapse and their patient’s attitude toward
DAI.
Recommendations
Based on the findings and conclusion of this study, the following
recommendations are suggested:-
Recommendations aiming at patients:
· Psychoeducational sessions need to be continuously and regularly conducted dailyminutes per day and must be provided to all psychiatric patients voluntary and
involuntary admitted, in psychiatric and in general hospitals.
· Providing patients with relapse`s warning signs checklist on discharge for early
detection and monitoring of relapse indicators to prevent it.
· Discharged patients should be followed by the hospital staff throughout patient
appointments, home visits or telephone calls to reduce potential relapses.
· Recommendations aiming at family:
· Participate patients` families and relatives in the treatment planning and enlisted as a
source of encouragement and support.
· Family education about the patient`s illness, medication and methods of dealing with
warning signs of relapse will be more effective.
· Recommendations aiming at hospital staff:
· In-service training programs and workshops need to be implemented for hospital staff
to provide them with enough information, training, and skills necessary for
communicating effectively, and for providing new ways of coping with relapsed patients.