Effects of Self-Regulation Program on Self-Efficacy Toward Aggressive Behavior Control of Schizophrenia Patients
Keywords:
Self-Regulation Program, Self-efficacy, Aggressive Behavior Control, Schizophrenia PatientsAbstract
This quasi-experimental research employed a two-group pretest-posttest design with a one-month follow-up period. The study aimed to compare self-efficacy scores in controlling aggressive behavior among patients with schizophrenia between the group receiving a self-regulation program and the group receiving standard nursing care. The sample consisted of 60 inpatients diagnosed with schizophrenia according to ICD-10 criteria (F20.0–F20.9) at Suansaranrom Hospital, purposively selected based on specified inclusion criteria. The study was conducted from January to April 2025. The research instruments included a demographic data questionnaire, the Self-Efficacy in Controlling Aggressive Behavior Scale for patients with schizophrenia, and a self-regulation program. All instruments were validated by three experts, with the Self-Efficacy Scale demonstrating a Cronbach's alpha coefficient of .84 and Content validity indices (IOC) were .93. Data were analyzed using descriptive statistics (percentage, mean, and standard deviation) and inferential statistics (independent t-test and repeated measures ANOVA)
The findings revealed that the mean self-efficacy scores in controlling aggressive behavior among patients with schizophrenia who received the self-regulation program showed statistically significant differences at the .05 level across three time points: pre-intervention, post-intervention, and one-month follow-up. Additionally, the mean self-efficacy scores at post-intervention and one-month follow-up were significantly higher in the experimental group compared to the control group receiving standard care (p < .05).
The study concluded that the self-regulation program effectively enables patients with schizophrenia to maintain their ability to control aggressive behavior continuously, even after returning to their families and communities, resulting in improved overall quality of life. Therefore, systematic implementation of this self-regulation program should be expanded across mental health and psychiatric service units. The program should be adapted to align with the social and cultural contexts of families and communities and integrated with home-based continuing care to ensure sustainable patient management.
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