ABSTRACT
OBJETIVO: determinar o efeito do tratamento padrão de enfermagem sobre a ansiedade e a autoestima em adolescentes com psicose prodrômica precoce, residentes de orfanatos. MÉTODO: um pré-pós-teste quase experimental sem grupo de controle foi conduzido com 77 adolescentes, selecionados por técnica de amostragem intencional. Os dados foram analisados pelo teste t. RESULTADO: após o tratamento padrão de enfermagem, os adolescentes apresentaram diminuição significativa nos sintomas de psicose prodrômica precoce (de 9,16 a 7,13) e escore de ansiedade (de 17,03 a 13,70) e aumento significante da autoestima (de 45,97% para 63,77%) com valor de p <0,05. CONCLUSÃO: recomenda-se o tratamento padrão de enfermagem para adolescentes com psicose prodrômica precoce no orfanato que têm ansiedade e baixa autoestima.
AIM: to determine the effect of standard nursing treatment on anxiety and self-esteem among adolescents living in orphanages with early prodromal psychosis. METHOD: this is a quasi-experimental pre and post-test, without a control group, that was conducted with 77 adolescents, selected by the intentional sampling technique. Data were analyzed using the t-test. RESULT: after the standard nursing treatment was received, the adolescents showed a significant decrease in the symptoms of early prodromal psychosis (from 9.16 to 7.13) and an anxiety score (from 17.03 to 13.70) and a significant increase in self esteem (from 45.97% to 63.77%) with p-value <0.05. CONCLUSION: the standard nursing treatment is recommended for adolescents with early prodromal psychosis in the orphanage who have anxiety and low self-esteem.
OBJETIVO: Determinar el efecto del tratamiento estándar de enfermería sobre la ansiedad y la autoestima de adolescentes con psicosis prodrómica precoz, residentes en orfanatos. MÉTODO: Se condujo un pre-post-test casi experimental sin grupo de control con 77 adolescentes, seleccionados por técnica de muestreo intencional. Los datos se analizaron por el test t. RESULTADO: Después del tratamiento estándar de enfermería, los adolescentes presentaron disminución significativa de los síntomas de psicosis prodrómica precoz (de 9,16 a 7,13) y escore de ansiedad (de 17,03 a 13,70) y aumento significante de la autoestima (de 45,97% a 63,77%) con valor de p <0,05. CONCLUSIÓN: se recomienda el tratamiento estándar de enfermería para adolescentes con psicosis prodrómica precoz que tienen ansiedad y baja autoestima, en el orfanato.
Subject(s)
Humans , Male , Female , Adolescent , Anxiety , Psychotic Disorders , Self Concept , Orphanages , Adolescent Health , Nursing Care , Mental HealthABSTRACT
Aim In average, the length of hospital stay in mental hospitals in Indonesia is 54 days, the longest of which occur on schizophrenic clients. In Bogor Mental Hospital, the average length of stay is 115 days. Those with schizophrenic and violence behavior have 42 days length of stay. The purpose of this study was to reduce length of stay for schizophrenic clients by enhancing their abilities to control violence behavior. Methods This is a quasi experimental study with multiple series design. Study was conducted in Bogor Mental Hospital with 152 respondents (75 intervention and 77 non intervention). Training was given to the intervention group about the ways how to control violence behavior. Results The results of this study showed that the average length of stay in the hospital for the clients in intervention group was 23 days and non intervention group was 40 days. There were 86.6% of clients in intervention group that independently (without assistance) could control their behavior, whereas 13.4 % still need assistant. All clients in non intervention group had no abilities to control their violence behavior. Clients who were independent in controlling violence behavior had significantly shorter length of stay compared to non independent clients (p < 0.05). Conclusion Hence, the training control violence behavior can increase the abilities of the clients in controlling their violence behavior and resulting in shorter length of stay in hospital.