ประสิทธิผลของการใช้โปรแกรมการจัดการกับความโกรธสำหรับผู้ป่วยจิตเภท โรงพยาบาลอุตรดิตถ์

Abstract

Patients with schizophrenia who cannot control their anger will harm themselves and others. Therefore, an anger control program is essential for schizophrenic patients who are not able to control anger expression. The purpose of this study was to determine the effectiveness of implementing the anger management program for patients with schizophrenia at Uttaradit Hospital based on Rogers' Innovation Adoption framework. The population of this study was a total of four registered nurses who are working in the psychiatric ward and 14 schizophrenic patients who were diagnosed with aggressive behavior. The research instrument used was the anger management program developed by Hathairat Ditaung (2007) based on Novaco's Anger Management concept (Novaco, 1975). Data was collected using the Thai version of Positive and Negative Syndrome Scale, the Aggressive Behavior Evaluation Form developed by Hathairat Ditaung (2007), and the Nurse Survey on the Program Utilization developed by Chamaiporn Chansiri (2010). Data was analyzed using descriptive statistics. Results of the study revealed that: 1. After implementing the anger management program for five days, the patients learned how to manage their feelings. The skills mostly used to lessen the anger of patients were breathing in and out (13 out of 14 patients), and followed by silently counting in their mind (11 out of 14 patients). All patients who received the intervention did not express aggressive behavior while attending the program as well as the week after the program was completed; and 2. All registered nurses suggested that the anger management program was helpful and not complicated to implement. It is also compatible with the existing program and the program outcome is easily assessable. The findings showed that the effectiveness of implementing the anger management program for patients with schizophrenia developed by Hathairat Ditaung (2007) that can be used to reduce anger in the patients. The registered nurses in the psychiatric ward can practice and present the program to managers for consideration in order to be used in the psychiatric ward at the Uttaradit Hospital.