THE ATTITUDE OF NURSES TOWARDS RELAPSE PREVENTION AMONG PSYCHIATRIC PATIENTS IN FEDERAL NEUROPSYCHIATRIC HOSPITAL

ABSTRACT

The problem of every hospital when the targeted objective is not achieved is that there is something wring either with health care givers, the patients or the general public. In order to improve the standard of health of the patients and keep them progressively fit. The reason why such lapse are present here to be sought and the remedy met in order to achieve the set objective of the hospital. 

This study is based on the Attitude of nurses towards Relapse prevention among psychiatric patients in Federal neuropsychiatric hospital Barnawa Kaduna. The aim and objective of this study are all directed towards bringing out lasting solutions to curtail this menace. It also intends to actively involve the management of  the hospital especially on employing new and scientific approach to holistic patient care. The instruments used for data collection were from interview and Questionnaire which were represented in tabular form, bar chart, pie chart and percentages. Nurses were used for the study .the data collected were analyzed. The result showed that many factor contribute to the effect of relapse.

All these can be prevented through adequate Education, Family oriented therapies, good social support, compliance and keep the follow-up appointment.

TABLE OF CONTENT

Title page  – – – – – – – – – – i

Certification – – – – – – – – – ii

Dedication  – – – – – – – – – iii

Acknowledgement – – – – – – – – iv 

Abstract – – – – – – – – – – v

Table of Content – – – – – – – – – vi

CHAPTER ONE

1.1 Background of Study – – – – – – – 1

1.2 Statement of Problem – – – – – – – 3

1.3 Objective of the Study – – – – – – – 5

1.4 Significance of the Study – – – – – – 5

1.5 Research Questions – – – – – – – 6

1.6 Scope of the Study – – – – – – – 6

1.7 Limitation of the Study – – – – – – 7

1.8 Operational Definition of Terms – – – – – 7

CHAPTER TWO

REVIEW OF LITERATURE

2.0 Introduction – – – – – – – – 8

2.1 Conceptual Framework – – – – – – 9

2.1.1 Background of the Study – – – – – – 9

2.1.2 Concept of Attitude – – – – – – – 11

2.1.3 Causes of Relapse – – – – – – – 13

2.1.4 Phases of Psychiatric Illness – – – – – 15

2.1.5 Types of Relapse – – – – – – – 17

2.1.6 Prevention of Relapse among Psychiatric Patients – – 19

2.2 Theoretical Framework – – – – – – 27

2.2.1 Cognitive Behavioral Chain – – – – – – 27

2.2.2 Problem of Immediate Gratification (P.I.G) – – – 27

2.2.3 Abstinence Violation effect (A.V.E) – – – – 28

2.3 Conclusion – – – – – – – – – 28

CHAPTER THREE

METHODOLOGY

3.0  Introduction – – – – – – – – 29

3.1 Research Design – – – – – – – 29

3.2 Research Setting – – – – – – – 29

3.3 Target Population  – – – – – – – 31

3.4 Sampling Techniques – – – – – – – 31

3.5 Instrument For Data Collection – – – – – 31

3.6 Validity and Reliability of Instrument – – – – 32 

3.7 Method of Data Collection – – – – – – 32 

3.8 Method of Data Analysis – – – – – – 32

3.9 Ethical Consideration – – – – – – – 32

CHAPTER FOUR

4.0 Introduction – – – – – – – – 33

4.1 Data Presentation – – – – – – – 33

4.2 Answering Research Questions – – – – – 47

4.3 Data Analysis – – – – – – – – 49

4.4  Conclusion – – – – – – – – 53

CHAPTER FIVE

5.0  Introduction – – – – – – – – 54

5.1 Discussion of Findings – – – – – – 54

5.2  Relationship with other Studies/Literature Review – 56

5.3  Implication for Nursing – – – – – – 58

5.4 Summary – – – – – – – – – 58

5.5 Conclusion – – – – – – – – – 59

5.6 Recommendations – – – – – – – 60

References – – – – – – – – – – 63 

Appendix – – – – – – – – – – 64

INTRODUCTION

Psychiatric illness has fascinated and confounded healers, scientist and philosopher for centuries, it symptoms have been attributed to possession by demons considered to be punishment by the gods for the evil done or accepted as evidence of the inhumanity of its sufferers victims. Thus explanation resulted in enduring stigma for those whose were diagnosed with such disorders. Even today, much of the sigma persist although it has less to do with demonic possession than with society’s unwillingness to shoulder the tremendous cost associated with mental illness.

Relapse is one of the most severe problem of mental health care givers. It is common in about 1.3% of the already treated cases of mental illness or more than two million people (U.S. Department of Health and Human Services [USDHHS] 1999). Its economic cost is envious. Direct cost of relapse treatment expenses of most psychiatric illness were estimated 2.5% of the total treatment of first hand mental illness care budget in 1998 (American Psychiatric Association [APA] 2000).

The last year for which these data were available (USDHHS, 1999). In 1997, this accountant for $23.6 billion of mental health care dollar spent. The indirect cost such as lost of wages, premature death and incarceration were estimated to be $46 billion in the first half of 1998 (APA, 2000).

Further unemployment among permanent disability is 10% (APA 1998). The cost relapse in terms of individuals and family suffering are probably inestimable.

Despite the current trend in modern treatment, there is still an alarming rate of relapse and the reoccurrence of psychiatric illness globally. Individual who ought to be productive and responsible in life are wasting away on daily basis.

Today patients are required to stay for a short period of time in the hospital admission and discharge to home environment to help reduce dependency on the hospital care and reducing relapse. Also this helps to reduce stigmatization and prevent complications (Feyinsayo, A. 2009). This study will attempt an overview of Nurse and also to show how proper utilization of psychiatric Nursing service will go a long way in reducing and eradicating the ever growing cases of relapse among psychiatric patients in Federal Neuropsychiatric Hospital Barnawa, Kaduna.