بررسي مهارت‌هاي زندگي بيماران اسكيزوفرنيك و تعيين حيطه‌هاي نيازمند مداخله توسط آزمون مهارت هاي زندگي كولمن

THE STUDY OF LIVING SKILLS IN SCHIZOPHRENIC PATIENTS AND DETERMINING THEIR AREAS OF NEEDING INTERVENTION BY USING KOHLMAN EVALUATION OF LIVING SKILLS

پيش زمينه و هدف: مهارت هاي زندگي بيماران اسكيزوفرنيك به دليل مشكلات شناختي، دركي، حسي حركتي، روان شناختي و رواني اجتماعي دچار اختلال مي گردد. بنابراين، تعيين حيطه هايي از مهارت هاي زندگي كه نيازمند مداخله درماني هستند در اين بيماران ضروري به نظر مي رسد. بر اين اساس، در اين پژوهش مهارت هاي زندگي بيماران اسكيزوفرنيك توسط آزمون مهارت هاي زندگي كولمن بررسي گرديد. مواد و روش كار: اين پژوهش به شيوه مقطعي توصيفي ndash تحليلي انجام شد و مهارت هاي زندگي در 35 بيمار اسكيزوفرنيك بستري و 51 بيمار اسكيزوفرنيك سرپايي و 35 نفر از افراد سالم با يكديگر مقايسه شد و حيطه هاي نيازمند كمك در مهارت هاي زندگي مشخص گرديد.

THE STUDY OF LIVING SKILLS IN SCHIZOPHRENIC PATIENTS AND DETERMINING THEIR AREAS OF NEEDING INTERVENTION BY USING KOHLMAN EVALUATION OF LIVING SKILLS Tabrizi GR *, Navabi M , Tabrizi M Received: 31 Mar, 2014 Accepted: 26 May, 2014 Abstract Background aims: Living skills of schizophrenic patient will be changed because of cognitive, perceptual, sensory motor, psychological and psychosocial problems. So, determining their needs seems to be necessary. In this study living skills of schizophrenic patients were assessed by Kohlman evaluation of living skills. Materials Methods: In this cross sectional analytical descriptive research, living skills of 51 outpatient and 35 inpatient with schizophrenia and 35 nonpsychiatric participants which were evaluated by kohlman evaluation of living skills were compared to each other and the fields of needing assistance were identified. Results: Comparing the means of total scale score which was estimated by Kruskalwallis test, showed that the difference between nonpsychiatric participants and schizophrenic patients was statistically significant (P< 0.001). There was no significant difference between the mean scores in the evaluation of subgroups of schizophrenic patients. Also schizophrenic patients needed more than 50% of assistance in appearance, awareness of dangerous situation, identification sickness, obtaining and maintaining source of income, budgeting of monthly income, and leisure time activity subscale scores. Living skills was influenced by occupation: the mean scores in living skills of employed patients (2.409) were better than unemployed ones (7.083). Conclusion: Living skills of schizophrenic patients would be damaged in different areas as a result of progressing in the signs of disorder. They showed maximum assistance need in the areas of selfcare, health and safety, money management, and leisure time activities which were evaluated by Kohlman evaluation of living skills. Key words: schizophrenia, living skills, Kohlman evaluation of living skills Address: Farhangian Mashhad University, Mashhad, Iran, Tel: (+98)5115015855 Email: rtabrizi@ymail.com