ประสิทธิผลของการใช้โปรแกรมการจัดการกับความโกรธในผู้ป่วย จิตเภทที่ติดบุหรี่ โรงพยาบาลสวนปรุง จังหวัดเชียงใหม่

Abstract

Aggressive behavior of patient with schizophrenia addicted to the nicotine in tobacco is a problem that affects themselves and others. If not treated properly, it can cause serious damage. The purpose of this operational study was to evaluate the effectiveness of implementing the anger management program among patient with schizophrenia addicted to tobacco. The sample was six nurses and thirty patients with schizophrenia who were addicted to nicotine and were reported of having aggressive behavior at Suan Prung Psychiatric Hospital, Chiang Mai Province during October to December 2015. The instruments used in this study consisted of 1) The personal information record form 2) The Thai version of Positive and Negative Syndrome Scale 3) Fagerstrom test for nicotine dependence 4) Overt Aggression scale 5) The anger management program and 6) The questionnaires of nurses’ opinions toward the anger management program among patient with schizophrenia addicted to tobacco. Descriptive statistics were computed for data analysis. The results revealed that: 1. After implementing the anger management program within one week, all patients with schizophrenia addicted to tobacco did not have aggressive behavior. The most useful methods to manage their anger were breathing exercises and non-vocal counting. ช 2. All nurses who used the program agreed on all items related to implementing the anger management program. These include relation advantage, compatibility, complexity, trial ability and observability. These results suggested that the anger management program used for patients with schizophrenia addicted to tobacco can decrease aggressive behavior in this population. Therefore this program should be further implemented in the routine care to prevent the aggressive behavior for this specific population