THE DEVELOPMENT AND EFFECTIVENESS OF SOCIAL SKILL TRAINING OF CHRONIC SCHIZOPHRENIC PATENTS

Abstract

                Objective: The main of this research were to develop social skill training of chronic schizophrenic patients and examine the effects of the program.

                Methods: Research and development is divided into 7 steps. The sample group consisted of 24 people with chronic schizophrenia who were maintenance phase, divided into the experimental group, 12 people participating in the program and the control group did not participate in the program. Study period May 2021– November 2021.The instrument used to collect data were Living Skills Assessment (LSA-30) and Negative Syndrome Scale (NSS). Subjects were assessed at pretreatment, posttreatment and follow up in 2 months while reliability of LSA-30 and NSS are obtained from the Cronbach’s alpha coefficient were 0.83, 0.86 respectively. Data were analyzed using ANCOVA, repeated measures ANOVA.

                Results: 1) The developed program consisted of 6 activities: 1. Appropriate communication 2. Appropriate speaking and listening 3. Marketing 4. Revisiting content of activities 1-3, 5. Practicing social skills in 4 real situations and 6. Educate on psychiatric drug use, the IOC score was equal to 1.0. 2) The mean score on social behavior and communication and negative symptom after the experiment found that the estimated (marginal effect) of the mean social behavior score and communication and negative symptom between the two groups was statistically different at < .05 (X_diff = 2.83, 95% CI of X_diff = 1.22-4.45, p-value = 0.001) and (X_diff = 2.08, 95% CI of X_diff = 0.93-3.24, p-value < 0.001) respectively. Mean scores on social behavior and communication and negative symptom before and after the trial. including a follow-up period of 2 months after the trial. between the experimental group and the control group There was a statistically significant difference at the <.05 level at least one pair (F_(2,44) = 15.42, p-value < 0.001) and (F_(2,44) = 27.82, p-value < 0.001) respectively. 3) Results of recurrence as an inpatient in a hospital after 3 months of discharge, it was found that 100% of the experimental group did not return for readmitted. But 16.67% of the control group returned to the hospital.

                Conclusion: Social skills training can reduce negative symptoms and social behavior and communication among chronic schizophrenic patients improved. This program should be an alternative to nurses in rehabilitation of patients.