Effects of a Seamless Nursing Care System on Amphetamine Relapse and Psychotic Symptoms in Schizophrenic Patients with Amphetamine Use Disorder
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Abstract
This experimental research with two group, pretest-posttest design, aimed to compare amphetamine relapse and psychotic symptoms in schizophrenic patients with amphetamine use disorder between experimental group receiving of a seamless nursing care system and control group receiving the routine care. The samples comprised 38 Schizophrenic patients with amphetamine use disorder, recruited from the inpatient department of Somdet Chaopraya Institute of Psychiatry. After matching characteristics of gender, sample were randomly assigned equally (n=19) to either experimental group or control group. Research instruments included the seamless nursing care system in schizophrenic patients with amphetamine use disorder comprises of 3 phases of care, 16 activities, a program of individualized relationship therapy, group supportive psychotherapy, family counseling and telephone counseling to patients for a total of 6 weeks. The amphetamine relapse and psychotic symptoms were measured by assessing the amount of use and severity of psychotic symptoms and tested for content validity reliability of the scale yielding values of .90 and .97 respectively. Data were analyzed by independent t-test. Findings revealed that the amphetamine relapse and psychotic symptoms of the experimental group after receiving the seamless nursing care system in schizophrenic patients with amphetamine use disorder were lower than before, and lower than the symptoms in the control group, at the .05 level. Therefore, it can be concluded that the seamless nursing care system in schizophrenic patients with amphetamine use disorder should be used to improve schizophrenic patients with amphetamine use disorder.
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