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Learning Objective 1: The learner will be able to explain evidence of effective nursing intervention to increase problem solving ability and insight and decrease depression of schizophrenic inpatients.
Learning Objective 2: The learner will be able to explain roles of nursing practitioner as a provider of brief intervention to improve problem solving ability of schizophrenic inpatients.
Methods: The research design was a one group pre and post-test design with 29 psychiatric inpatients diagnosed schizophrenia(DSM-IV) by psychiatrist and agreed to participate in the 8 week program provided by psychiatric mental health nursing practitioner in Namwon Sungil Mental Hospital. The program based on the model of problem solving therapy by D'Zurilla & Nezu(2008) and developed based on results of problem solving need assessment of schizophrenic inpatients. Various cartoons illustrated situatiosn of problem and techniques of role play were used for program. Outcomes included problem solving abilitiy, insight of illness and depression.
Frequencies, paired t-test with the SPSS program 18.0 were used to analyze the data.
There were significant changes in the level of problem solving ability(t=.500 p=.006), insight of illness(t=.475, p=.011) and depression(t=.550, p=.002) in the experimental group. The scores of problem solving ability, insight of illness and depression were significant increased in the experimental group.
These results indicate that the problem solving training applied a role play is an effective nursing intervention to increase the level of problem solving ability, insight of illness and depression for schizophrenic patients. However, additional interventions are needed to sustain long-term effects.