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Showing 2 results for Schizophrenia

Neda Parvin, Leila Rafiee Vardanjani,
Volume 11, Issue 1 (5-2014)
Abstract

Background and Objective: Management of aggressive behavior is one of the important problems for nurses working in psychiatric wards. This study aimed at determining nurses' problem in dealing with aggressive behavior in psychiatric wards. 
Material and Methods: This descriptive-analytic study, via census sampling, was conducted on 41 nurses engaging in psychiatric wards of Hajar and Sina Hospitals in Shahrekord, 2011. The data collected by a research-made questionnaire including demographic data and nurses' problems for management of patient aggression in three domains of personal, physical environment of ward and organizational factors. Using means, frequency, Mann-Whitney and Chi square, we described and analyzed the data. 
Results: The average age of nurses was 36.34±6.74 and their record of services in psychiatry ward was 6.73± 4.85 years. The most frequent nurses' problem in management of aggressive patients was related to personal problem specially the threat of having physical conflict with patients and encountering with the consequences of patients’ physical restriction. There was no significant relationship between the frequency of aggression and the variables such as age, sex, work shift, work history and type of employment (P>0.05).
Conclusion: Based on the results, the nurses working in psychiatry wards are faced with some problems in dealing with aggressive patients especially in personal and physical environment domains. Hence, it needs to be considered by the officials.

Neda Parvin, Leila Rafiee Vardanjani , Fatemeh Aliakbari,
Volume 14, Issue 1 (11-2017)
Abstract

Background: Schizophrenia is a devastating psychiatric disorder and its  Positive and negative symptoms have negative effects on social functions. A combination of pharmacological and non-pharmacological treatments is considered more effective for this condition. The present study aimed to determine the effect of a group horticulture program on psychiatric symptoms in patients with chronic schizophrenia.

Methods: This quasi- experimental study was conducted from April 2014 to July 2014 in Sina Hospital in Chahar Mahal and Bakhtiari province in Iran. Fifty-two eligible patients with diagnosis of chronic schizophrenia were randomly assigned to two groups of horticulture and usual care (control). Both groups received similar medical and routine care. The patients in horticulture group participated in a group horticulture program for three months. The patients’ psychiatric symptoms were evaluated at the beginning and at the end of the study by Andreasen’s scales for assessment of negative and positive symptoms. The data was analyzed by student t test, paired t test and chi square.

 Results: At the beginning of the study, the patients in both study groups were matched in terms of age, sex, marriage status, education, and average scores of positive and negative symptoms. At the end of the study, the horticulture group showed a significant improvement compared with control group in positive and negative symptoms (P < 0.05), which indicated the effectiveness of the intervention on these symptoms.

Conclusion: Group horticulture program can be used as an effective non-pharmacological adjunctive treatment in patients with chronic schizophrenia.



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