Hospitalized Chronic Schizophrenia Patients Health And Social Care Essay

The break raft was designed to measure the consequence of gestalt therapy on self-importance-importance mind among endurings with schizophrenic malady. The look into design is of import measure in question, as it is closely related to the over only model for carry oning survey. This chapter deals with the rendering of the research coming, design, puting, people, standards for sample choice, sample and sampling technique, development and description of tool, motion for informations accretion and program for informations analysis.3.1. RESEARCH APPROACHThe research worker has pick out valued research attack in this survey to analyse the impact of Gestalt therapy on self soul among long-sufferings with schizophrenic overturn. This attack is a systematic social occasion that involves the measuring of the input, procedure and the end product.3.2. RESEARCH DESIGNThe research design adopted in the present survey was Quasi experimental pre exam and come out trial with c ontrol collection design. Self consciousness was assessed among the patients with schizophrenic disorder forward and by and by Gestalt therapy. Gestalt therapy was administered as an intercession to heighten the self consciousness of the patients with schizophrenic disorder.FIG 2. SCHEMATIC REPRESENTATION OF RESEARCH DESIGNQuantitative ApproachQuasi experimental pre trial and target trial with control group designTarget Population patients with schizophrenic disorderAccessible Population Patients with schizophrenia hospitalized at krishna nurse placeSample size 16Tool Situational Self consciousness relieve oneself evadeExperimental group ( N=8 )Hospitalized chronic Schizophrenia patientsControl group ( N=8 )Hospitalized chronic Schizophrenia patientsReceiving Routine nursing attention and Gestalt therapyReceiving Routine nursing attention merelyAppraisal of ego consciousness after intercessionDatas analysisFindingssReport/ thesis3.3. SettingThe survey was conducted in Krishna breast feeding place, Coimbatore. It is a 28 bedded nursing place and de-addiction Centre.3.4. PopulationThe dress population for the present survey was patients with chronic schizophrenic disorder. The accessible population for the present survey was patients with schizophrenia hospitalized at Krishna nursing place.3.5. CRITERIA FOR SAMPLE SELECTIONThe samples were taken found on the succeeding(prenominal) standards.Inclusion standardsHospitalized patients with chronic Schizophrenia.Schizophrenic patients under the historic period group of 20-55.Schizophrenic patients with low ego consciousnessSchizophrenic Patients who be resulting to take part in the survey.Exclusion standardsSchizophrenia with both other physical or mental sickness.Schizophrenic patients in smashing stage.Schizophrenic patients with negative symptoms.3.6. SamplingPurposive sampling technique was used for sample choice. During the informations aggregation period 16 patients were admitted in Krish na treat Home. A sample of 16 patients with schizophrenic disorder were recruited in the survey.3.7. VARIABLES OF THE STUDYDemographic VariablesAge, Gender, Education, Marital position, Occupation, Monthly income, Place of abode, Family muniment of mental unwellness and Duration of mental unwellnessMugwumpVariableGestalt therapyDependant VariableDegree of Self consciousness3.8. MaterialThe tool lie in of 3 subdivisionsSection 1 Demographic VariablesSection2 Situational ego consciousness graduated board ( baffle & A Marsh, 2001 )Section3 Gestalt Therapy3.8.1. Section 1Demographic Variables This is a self-administered tool which comprise of personal information of the patients like age, gender, instruction, matrimonial position, occupational position, monthly folk income, topographic point of abode, type of househ one-time(a), household history of mental unwellness and continuance of mental unwellness.3.8.2. Section 2Situational Self Awareness Scale ( Govern and Marsh 2001 ) G overn and Marsh was developed in 2001 to quantify degrees of universe and Private Self consciousness. It consists of 9 statements related to overall feelings of Self consciousness. The points were answered on a 5-point likert graduated table denoting merely positive worded statements runing from strongly differ to strongly hold. Components 1, 5, 9 denotes Surrounding factor. Components 2, 6, 8 denotes Private factor. Components 3, 4, 7 denotes general factor. The Mark ranges from 9-45 in order to construe the degree of ego consciousness.reliableness & A ValidityThe dependability of the tool is measured utilizing the exploratory and corroboratory factor analysis and other statistical methods yielded consequences reveals correlation coefficient 0.7 be discourseing first-class stableness. The interior(a) consistence of the three subscales is good ( Cronbach s alpha = 0.82 for unexclusive factor, 0.72 for buck mysterious factor and 0.72 for environing factor ) while the test-ret est correlativity is 0.78 for public factor and 0.58 for private factor.A The tool has equal content cogency and concepts cogency.AdministrationInitially the research worker maintained good resonance with the patients. The research worker obtained conscious consent to affect the patients in the survey. The Situational ego consciousness graduated table was administered to the schizophrenic patients one after another. This is a ego describing graduated table in which the participants were asked to check the options in apiece point as they feel.ScoringThis graduated table is standardized, which consists of 5 likert type inquiries that measure the Self consciousness of patients with schizophrenic disorder. The responses of the 9 points are ranged from ( Strongly Disagree = 1, Slightly Disagree = 2, Neutral = 3, some agree = 4 and strongly agree= 5 ) . The maximal rack up in the tool is 45.Interpretation& lt 22 Low ego consciousness.22-33 formula34-45 High ego consciousness.3.8.3. Section 3GESTALT THERAPYGestalt therapy was developed in 1940 by Frederick and Laura Perls in the fortiess. Gestalt therapy is a humanistic therapy where the research worker makes the patients to follow Gestalt therapy techniques which enhance the ego consciousness of patients with schizophrenic disorder. It tends to reflect a more experiential or subjective attack in bettering the ego consciousness among patients with schizophrenic disorder.Prerequisites OF GESTALT THERAPYThe undermentioned stairss should be taken by the research worker onwards brass of Gestalt therapy.Explain the demand for the therapy to the patient and its utility.Explain the process to the patient.Get advised consent.Make a good resonance with the patient.Provide client a composure and quiet environment with good airing.Arrange 2 chairs to fare gestalt therapy techniques.GESTALT THERAPY TECHNIQUESEMPTY CHAIR TECHNIQUE The Chair in which the patient sits is a hot place and the chair is present in forepart o f the patient is an empty chair. Patient is asked about his or her likes and disfavors towards his /her household members or relations. Patient imagines that the peculiar individual is sitting in that empty chair. Patient is asked to speak to that individual in forepart of the healer. This will better the emotional bonding and conflict declaration among the household members. in that respectfore, self consciousness is improved when the patient negotiations in such a fanciful manner to other individual. channelise FANTASY Patient will be asked to conceive of a old event or topographic point already exposed in a systematic mode with the aid of the healer and imaginativeness is performed by the patient in a realistic mode.Devising ROUNDS WITH PATIENT- Patient will speak and mix with all Psychiatric patients in the infirmary premises. This attack will give consciousness towards the environment.REHEARSAL EXERCISE It involves behavioral change run where the patient function plays a n ew behavior that they have learned with a individual or people in their environment. This is do to cut down phase fear and anxiousness that may be felt if they feel they are non executing their new behavior right. This encourages spontaneity and a willingness to larn and execute a new behavior.3.9. HypothesisH01 There is no historic discrepancy in the degree of self consciousness among patients with schizophrenic disorder in experimental and control group before gestalt therapy.H11 There is a important difference in the degree of self consciousness among patients with schizophrenic disorder in experimental group before and after gestalt therapy.H02 There is no important difference in the degree of self consciousness among patients with schizophrenic disorder in control group before and after commonplace nursing attention.H12 There is a important difference in degree of self consciousness among patients with schizophrenic disorder in experimental group after gestalt therapy and control group after everyday nursing attention.H13 There is a important difference surrounded by the before intercession and after intercession mark in environing factor of self consciousness among patients with schizophrenic disorder.H14 There is a important difference between the before intercession and after intercession mark in public factor of self consciousness among patients with schizophrenic disorder.H15 There is a important difference between the before intercession and after intercession mark in private factor of self consciousness among patients with schizophrenic disorder.3.10. voyage STUDYBefore the chief survey, pilot survey was conducted to look into the feasibleness, practicableness, dependability, and cogency. The survey was conducted in Krishna Nursing Home, Coimbatore. The eligible samples were recruited for pilot survey and the sample size was 5. The degree of ego consciousness was assessed among patients with schizophrenic disorder before intercession. Gestal t therapy was administered to patients with schizophrenic disorder. Gestalt Therapy was given for continuance of 40 proceedingss to five schizophrenic patients for back-to-back 10 yearss. Post trial was conducted the undermentioned twenty-four hours to measure the ego consciousness of patients with schizophrenic disorder after administrating gestalt therapy. Data analysis was done utilizing descriptive and inferential statistics. Consequences showed that Gestalt therapy heighten the degree of ego consciousness. Hence, the survey was operable and executable.3.11. MAIN STUDYThe chief survey was conducted for a period of 30 yearss. During the period of informations aggregation, 16 samples were drawn purposively. The research worker developed resonance with the participants and explained the importance and benefits of the intercession. Followed by this, consent was obtained. Initially, all patients with schizophrenic disorder were administered situational ego consciousness graduated ta ble. The degree of ego consciousness was identified as low. Following this, gestalt therapy was administered to the patients with schizophrenic disorder separately for 40 proceedingss for each session with a sum of 4 Sessionss for each patient as one session per hebdomad. After 30 yearss a station trial was conducted to measure the ego consciousness of the patients with schizophrenic disorder.3.12. TECHNIQUES OF selective information ANALYSIS AND INTERPRETATIONAppropriate statistical tool such as descriptive and illative statistics were applied to analyse the information.