J Korean Acad Nurs.  2018 Aug;48(4):443-453. 10.4040/jkan.2018.48.4.443.

The Effects of an Acceptance-Commitment Therapy Based Stress Management Program on Hospitalization Stress, Self-Efficacy and Psychological Well-Being of Inpatients with Schizophrenia

• Lee JW
• Ha JH

• KMID: 2424530
• DOI: http://doi.org/10.4040/jkan.2018.48.4.443

Abstract

PURPOSE
The purpose of this study was to construct an acceptance-commitment therapy (ACT)-based stress management program for inpatients with schizophrenia and to examine its effects on hospitalization stress, self-efficacy, and psychological well-being.
METHODS
A non-equivalent control group pretest-posttest design was used. Participants were 44 inpatients with a diagnosis of schizophrenia. The experimental group (n=22) received the ACT-based stress management program twice a week for a total of four weeks. The control group (n=22) received the usual care from their primary health care providers. The study was carried out from August 7 to September 1, 2017, and data were analyzed using IBM SPSS/WIN 22.0 with a Chi-square test, Fisher's exact test, and an independent t-test.
RESULTS
The experimental group showed a significant decrease in hospitalization stress (t=5.09, p < .001) and an increase in self-efficacy (t=2.44, p=.019). However, there was no significant difference in psychological well-being between the two groups (t=0.13, p=.894).
CONCLUSION
The results of this study suggest that the ACT-based stress management program can be used as an effective mental health nursing intervention for hospitalization stress and self-efficacy for inpatients with schizophrenia.

Keyword

Acceptance and Commitment Therapy; Hospitalization; Schizophrenia; Self Efficacy; Stress, Psychological

MeSH Terms

Acceptance and Commitment Therapy
Diagnosis
Hospitalization*
Humans
Inpatients*
Primary Health Care
Psychiatric Nursing
Schizophrenia*
Self Efficacy
Stress, Psychological

Figure

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  Figure 1. Flow chart of the study.

Reference

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