Decreasing Social Interaction Anxiety for Schizophrenia

Decreasing Social Interaction Anxiety for SchizophreniaCHAPTER V DISCUSSION, SUMMARY, CONCLUSION, IMPLICATIONS, LIMITATIONS AND RECOMMENDATIONS.This chapter deals with discussion, summary and conclusions drawn. It clarifies the limitations, the implications and the recommendations of the need which ar given for the different areas in nurse practice, Nursing education, Ad bitistration and Research. The primary aim of the intervention is to decline the well-disposed fundamental fundamental interaction fear among patients with dementia praecox.DISCUSSION.Schizophrenia is relatively common affecting 1.1% of population in or around 65 million heap worldwide. In India about 4.5 7.8 millions of people suffers from schizophrenia and 7 lakhs of people suffers from Schizophrenia in Tamil Nadu. The patients with Schizophrenia have been found to have pronounced deficits in the sociable skills. These deficiencies may reflect the primary influence of the ailmentes itself.(Del prette,1 999).The present discover aimed to assess the utileness of kindly skills preparedness on kindly interaction anxiety among the patients with schizophrenia. It was conducted at Kongunadu Mana Nala Arakkatalai ,a inveterate centre at Coimbatore. The sample surface was 30 patients who were diagnosed with schizophrenia.Demographic variables showed that 80 percent of the patients were under the age group of 40 60yrs, 53.3 percent of the patients were males, 70 percent of the patients completed their high school, 63.3 percent of the patients were married and 60 percent of the patients were from the nuclear family.Clinical variables showed that 73 percent of the patients were chronic schizophrenic patients, 50 percent of the patients were having the illness from 2 4yrs and 56.6 percent of the patients were admitted in the infirmary for more than 2 yrs.The distribution of the subjects according to the mean pre evidence values of cordial interaction anxiety showed 47.97 and the dis tribution of the subjects according to the mean post test values of mixer interaction anxiety showed 43.57.The hoard entropy of the present contain were statistically analyzedand the results based on the objective are discussed below- (1) To assess the mixer interaction anxiety before and after the favorable skills planning among the patients with schizophrenia.The level of hearty interaction anxiety before the genial skills development among the patients with Schizophrenia was assessed by exploitation the SIAS scale. The scale consists of 20 questions which includes the aspects of chat, eye contact , listening, appropriate emotional response ,interaction anxiety , greeting and smiling to others. The mean pre test value of affectionate interaction anxiety was 47.97 and the post test value was 43.57 respectively. It showed that the schizophrenic patients are having repellent social interaction anxiety.From the supra results the research worker came to a conclusion th at the schizophrenic patients are having severe social interaction anxiety to go for in effect(p) communication which affects their day to day life. Thus by giving the social skills facts of life a demeanour therapy technique the patients can improve their social skills which further leads to the healthy communication.A study supporting the above result is as follows Beaz . S.et al.,(2013) conducted a study to evaluate the social functioning performance (social cognition tasks) that incorporate the different levels of contextual dependence and their involvement in the strong life scenarios.50 samples were included as the study participants and out of these 25 were the control subjects. The subjects were analyzed by use the pre prepared diagnostic assessment. The results showed that the both groups has the greater interaction anxiety and thus gives the poor performance in the social cognition tasks which constitutes emotional processing, empathy and social norms. The result su ggests that the social skill deficits in the patients with schizophrenia volition impairs their involvement in the real life situations. (2) Evaluate the effectiveness of social skills training among the patients with schizophrenia.The post-test level of social interaction anxiety was assessed after the intervention. The comparison amongst the social interaction anxiety of the patients before and after social skills training was statistically evaluated employ paired t test. The mean pre-test value of social interaction anxiety was 47.97 and post test value was 43.57. The careful paired t value was 6.067 which is greater than the elude value (1.672) and it was real at P From the above analysis, the investigator came to the conclusion that the social skills training was an effective intervention for decreasing the social interaction anxiety of the schizophrenic patients.A study supporting the above purpose is as follows Imam.A.S,et.al.,(2004) conducted a study to determine th e effect of social skills training program on social interaction anxiety of individuals with schizophrenia. For a one month program 62 inpatients, 32 in the study group and 30 in the control group were selected as the participants and they were given 60 min training in 10 sessions for 15 days. The results indicated that social interaction anxiety had shown a tendency to gradually decrease with the lengthening of the group treatment time. The findings demonstrated that the social skills training is effective in trim down the interaction anxiety in individuals with schizophrenia.Similarly as in the above described study, the present study also showed the effectiveness of social skills training programme on social interaction anxiety among schizophrenic patients.(3) consociate the social interaction anxiety with the selected demographic and clinical variables among the patients with Schizophrenia.The connection of social interaction anxiety using with selected demographic and clini cal variables is found out by using the chi square test and it shows that, the work out chi square value for all demographic variables such as age , sexuality, education, event of family , type of schizophrenia, duration of illness, and period of stay does not have any fundamental association with the social interaction anxiety at PA study supporting the above result is that Hayes (1995) conducted a study on effects of social skills training on the community functioning and its impact with the chronic schizophrenic patients.63 patients met in small groups for 36 sessions of training over 4 months. The results showed that there is a significant association in community functioning with demographic office such as sex, educational status and marital status of the patients. No association was found surrounded by the age , type and duration of illness ,and period of admission.The association of social interaction anxiety with demographic variables such as age (0.842), gender (0.52 3), education (0.276), and type of family (0.36) were not statistically significant at PThe association of social interaction anxiety with clinical variables such as the type of schizophrenia(0.589), duration of illness (0.657), period of stay (0.992) showed no significance at PThe above mentioned study also supports that there was no association between the age, type and duration of illness and period of admission. And in the present study, the researcher suggests that irrespective of the age and gender the people go forth have to deal with the stressful life events daily hassels which consequently affects the social decompensations which will be varying from one another and hence their perception towards the social skills might be different. And on the other side, the educational status the participants may not have the capability to understand the social skills training its importance. For the other variables, type of family, type of schizophrenia, duration of illness, period of stay the duration and sample of the study is less. Hence this may be the reason these variables are found as no association in the present study.Similarly as the above in the present study there was a significant association with the social interaction anxiety and the marital status and no association was found between age, gender, education ,type of family ,type of illness and its duration and the period of stay.SUMMARYThe present study was aimed to assess the effectiveness of social skills training on social interaction anxiety among the patients with schizophrenia. The objectives formulated were as follows-To assess the social interaction anxiety before and after the social skills training among the patients with schizophrenia.Evaluate the effectiveness of social skills training among the patients with schizophrenia.Associate the social interaction anxiety with the selected demographic and clinical variables.The social skills training was the independent variable and the soc ial interaction was the dependent variable.One group pretest posttest quasi experimental name was used for the study. The samples include 30 schizophrenic patients. Non probability purposive sampling technique was used. The tool for the data collection consists of the demographic and clinical variables of the patients, and social interaction anxiety scale was used to assess the social interaction anxiety of the schizophrenic patients.The study was conducted at Kongunadu Mana Nala Arakkatalai, Coimbatore for a period of 6 weeks. After the pre-test, the researcher used social skills training as the intervention. The training showed a decrease in the social interaction anxiety for the patients which was assessed by the post test.As on the hypotheses and objectives, datas were analyzed by using both descriptive and inferential statistics to find out the effectiveness of social skills training on social interaction anxiety among the patients with schizophrenia.. And it tested and proved the formulated hypothesis.MAJOR FINDINGS OF THE STUDYThe pre-test and post-test values showed that there was a decrease in the social interaction anxiety among schizophrenic patients. Thus, it was an effective intervention to decrease the communication problems among schizophrenic patients.The calculated pairedt test value for the social interaction anxiety among the patients with schizophrenia was 6.067. This value was greater than the table value (1.672) andt value was significant at 0.05 level. Thus this finding implies that there was a decrease in social interaction anxiety after social skills training.The association of social interaction anxiety with selected demographic and the clinical variables using chi square test shows that among the calculated chi square values for demographic variables, marital status had a significant association at PCONCLUSIONThe conclusion drawn from the study is as follows-The statistical analysis proved that, the social interaction anxiety of the patients with schizophrenia was decreased after social skills training. Thus, social skills training is a reliable intervention to improve the social skills among the patients with schizophrenia.IMPLICATIONSThe present study contributes to care for practice, nursing education, nursing administration and nursing research. The social skills training can be used to decrease the social interaction anxiety among the patients with schizophrenia.Nursing PracticeThe social skills training is an effective therapeutic technique to improve the social skills of the patients.In the nursing practice, the Psychiatric nurses as teachers or trainers can work collaboratively with their patients for behavioural modifications such as increasing socialization, up(p) assertiveness.The decrease in the social interaction anxiety will improve the communication pattern of the patients which in turn help them to improve their day to day life.By using this training nurses can pass over the social diffic ulties of their patients and help them achieve higher levels of psychosocial adaptation.Nursing Education.The nurse educator can encourage the rung to implement the social skills trainingtechnique for the patients in an active and more lively manner.The nurse educator can make the staff nurses , to understand about the social skills training and thus to deliver an effective and good quality of care to their patients.Nursing Administration.The nurse administrator can initiate the social skills training in psychiatric units.The nurse administrator can implement the social skills training as a group activity among the patients.Nursing Research.The nurse researcher should explore the factors that are contributing to the lack of social skills in the hospital environment among the patients with schizophrenia.More researches should be encouraged to assess the effectiveness of social skills training in all the areas of communication.LIMITATIONSThe time period of the study was very short t o assess the behavioural stir of the patients.The study was conducted for one aspect of the social skills.The study was conducted with the limited number of samples.RECOMMENDATIONS.A comparative study can be done with the experimental and the control group.A longitudinal study can be done with large number of samples in different settings.Further research can be conducted centering the other aspects of social skills.A comparative study can be done with the other behaviour modification techniques.