| OBJECTIVE: To investigate the resilience level and coping style of schizophrenic caregivers,explore the influence of psychodrama technology on the resilience and coping style of schizophrenic caregivers,and provide evidence-based basis for assistant management and recovery of schizophrenic patientsMETHODS:1 Objects and GroupsFrom May 2018 to November 2018,120 caregivers of patients admitted to Chongqing Mental Health Center who met the diagnostic criteria of schizophrenia(ICD-10)were selected.The caregivers were divided into study group and control group with 60 cases in each group using SAS software to generate random numbers.There was no significant difference in gender and age between the two groups(P> 0.05).2 Intervention methods2.1 Research toolsBased on the Manual of Comprehensive Rehabilitation Techniques for Schizophrenia,four training scenarios,namely "relapse of patient’scondition","impulsive behavior of patient","refusal of drug" and "how to seek help",were determined by using psychodrama technique-social adaptation training(role training).2.2 ResearchersPsychiatrists who were trained systematic training in psychodrama were selected as live directors and simulated patients to conduct training interventions for participating researchers.2.3 Intervention processStudy group: After patients were admitted to hospital,the caregivers were divided into 10 people/group/week*4 weeks,and social adaptation training was conducted in sequence according to the experimental scenarios.Prior to the start of the training,the roles of the protagonists and assistants are assigned voluntarily.The tasks of the protagonists are to deal with the incidents in the training scene as the main caregivers,and the assistants are to assist in the process of dealing with the incidents as bystanders or non-primary caregivers.Afterwards,the director organizes the sharing of inner motivation.Control group: During the admission period,the patients in the study group were given the corresponding guidance in the scene training "Manual of Comprehensive Rehabilitation Technology for Schizophrenia",and were given routine education to the reference group.3 Effectiveness evaluationBefore admission,all the caregivers of schizophrenia were surveyed.Before intervention,after intervention and follow-up test(end of one month after intervention),the study group was tested with Coping Style Questionnaire(CSQ),Psychological Resilience Scale(CD-RISC).The synchronization time was also evaluated in the control group.RESULTS:1 Psychological resilience and coping style of caregivers of schizophrenic patientsBefore intervention,there was no difference in the total score of resilience and the scores of problem solving,avoidance and self-blame in coping styles between the control group and the research group(P > 0.05),which was comparable.2 Psychodrama Technology’s Effect on Psychological Resilience and Coping Style of Schizophrenic Caregivers2.1 The total score of resilience,toughness,strength dimension,time main effect,inter-group main effect and inter-group x-time interaction effect were significantly different after intervention and follow-up test(P <0.01).The total score of resilience level in the study group and the control group increased after intervention,and the study group was higher than the control group,with significant difference(P< 0.01).In the time effect analysis,the total score of resilience in the study group and the control group at three time points was higher than that before intervention(P <0.01),but there was no significant difference between the two groups after tracing and after intervention,while the score in the study group wassignificantly different(P < 0.01).2.2 There were significant differences in the scores of problem solving,avoidance,self-blame dimension,time main effect,inter-group main effect and inter-group x-time interaction effect after intervention and follow-up test(P < 0.01),but there were no significant differences in help seeking,rationalization and fantasy groups x-time interaction effect(P > 0.05).In the analysis of time main effect,there were three groups in the study group and the control group.The scores of problem-solving,avoidance and self-blame at time point were higher than those before intervention,but there was no significant difference between the two groups(P < 0.01).CONCLUSIONS:1 Resilience of schizophrenic caregivers was at a low level(49.96(+1.80),lower than that of the general occupational groups in China(64.71(+12.66);negative coping styles were obvious,mainly avoidance and self-blame,which required intervention and guidance.2 Psychodrama technology and routine health education can improve the resilience level and coping style of schizophrenia caregivers.And the psychodrama technology is better.3 Psychodrama technology intervention has a continuous improvement effect. |
PDF Full Text Request