The Effect of the One-to-One Interaction Process with Group Supportive Psychotherapy on Levels of Hope, Anxiety, and Self-Care Practice for Patients that had Experienced Organ Loss

Ruchiwit, Manyat

Monday, 31 October 2011: 2:05 PM

Manyat Ruchiwit, PhD
Mental-Health and Psychiatric Nursing Department, Thammasat University, Klong Luang, Pathumthani, Thailand

Learning Objective 1: Understand the effect of the interaction process with group supportive psychotherapy on levels of hope, anxiety, and self-care practice for patients with organ loss.

Learning Objective 2: Apply this alternative and satisfactory type of care to patients with organ loss.

The purpose was to study the effect of the one-to-one interaction process with group supportive psychotherapy on levels of hope, anxiety, and self-care practice for patients that had experienced organ loss. Eighty patients from the orthopedic surgery, gynecology, and eye units of the University Hospital were selected by matched pairs. Simple random sampling was used for the experimental and control groups, which consisted of forty pairs. They were paired according to gender, interval of age, type of organ loss, and time length of organ loss. Hope and self-care practice assessments were used. Assessment of anxiety levels was conducted by the electromyogram biofeedback instrument and the anxiety assessment. The experimental treatments consisted of the one-to-one interaction process with the group supportive psychotherapy.

Major findings were the following: 1) There were statistically significant differences at the p < .001 level between the mean scores of the changes in the levels of hope, anxiety, and self-care practice of patients between the experimental group and the control group. Patients that received the experimental treatments had higher levels of hope and self-care practice, with lower levels of anxiety, than the patients who received normal therapeutics in the hospital units. 2) There was also a statistically significant difference at the p < .01 level between the mean score of the change in anxiety levels measured by the electromyogram biofeedback instrument before and after the experiment with the experimental group. Patients after receiving the experimental treatments had a lower mean score of electromyogram than that of the same patients before beginning the experiment.

This study suggests that the participation of patients that have experienced organ loss in the one-to-one interaction process with group supportive psychotherapy can be an alternative and satisfactory type of care.

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