1. JOURNAL
PRESENTATION
 Presented by:-Mr. Suresh Kumar Sharma
 F.Y. MSc Nursing Student
 Submitted To:- Mrs. Nisha deshpande
Principal,BVSON

2. Problem statement:-
“TO ASSESS THE
EFFECTIVENESS Of
STRUCTURED ACTIVITY
PROGRAMME ON THE LEVEL OF
SELF CARE ABILITY ON
PERSONAL HYGIENE OF
PATIENTS DIAGNOSED WITH
N. Padmavathi, Dr. k lalitha, Dr. R. parthasarathy
SCHIZOPHRENIA.”Msc Nursing and clinical instructor
Nimhans , banglore
Journal of NRSI
- april-may(2011), vol. 4, issue 1

3. Introduction
Schizophrenia:-
It is a psychotic condition
characterize by disturbances
in thinking, emotions and behavior in
the presence of clear
consciousness, which usually leads
to social withdrawal.

4. AIM:-
 TO Prepare structured activity
programme and evaluate its
effectiveness on the level of self
care ability on personal hygiene for
patients diagnosed with
schizophrenia.
01/30/13

5. OBJECTIVE
 Toassess the level of self care
ability on personal hygiene of
patients with schizophrenia.
 To find out the effectiveness of
structured activity programme on
the level of self care ability on
personal hygiene seen among
patients with schizophrenia.

6. Hypothesis
 H0:- there will be statistically no
significant difference in the level of
functional ability between experimental
group and control group before and after
implementation of structured activity
programme.

7. Research approach:-
true experimental approach.
 Research design:-
 pre test and post test design with control group.
 Settings:-
 In patients female open general ward as well as closed ward
at NIMHANS, BANGLORE.
 POPULATION:-
FEMALE PATIENTS WHO WERE DIAGNOSED WITH
SCHIZOPHRENIA.

8. Sample size- 30 PATIENTS
 15 Control group & 15 Experimental group
Sampling technique:-
MULTIPHASE SIMPLE RANDOM
v
SAMPLING.
v
PATIENTS WHO MET THE SELECTION
CRITERIA
COTROL GROUP – PATIENTS FROM
CLOSED FEMALE WARD
EXPERIMENTAL GROUP- PATIENTS

9. INCLUSION CRITERIA
 Patients with schizophrenia
 All sub types of schizophrenia
 Only FEMALE
 Patients admitted first time in NIMHANS.
 Duration of illness >6 months
 Age 18-60 yrs
EXCLUSION CRITERIA:-
 Patients with co-morbid condition like
alcoholism, MR etc.
 Patients with acute symptoms.
01/30/13

10. TOOLS
 Part-1 socio-demographic data sheet
 Name, age, religion, habitat, education, occupation,
marital status, family status, family income, diagnosis,
duration of illness & handicap.
 Part-2 rating scale for functional assessment
 5 point rating scale raging from 0-4.
 Maximum- 176 & minimum- 0.
 Higher the score High self care ability.
 Tools had been pilot tested and found to be feasible,
practical, and suitable for study.
01/30/13

11. Data collection procedure
 Permission from concerned authorities.
 Written informed consent from care giver/
staff Incharged.
 After collection of pre-test data
implementation of SAP.
 12 session on personal hygiene activities
such as brushing, teeth, eating, nail care &
hair care.
 Each activity 3 days.
 Skill training & lecture method by using video
tap & ppt slides.
01/30/13

12. Data analysis-
1. MANN WHITNEY U test-
 Compare the score b/w the group.
 Non-parametric test
 Equivalent of independent sample ‘t’ test.
2. WILICOXON SIGNED RANKS TEST
 Compare the score within the group.
 Non-parametric test
 Equivalent of paired ‘t’ test.
01/30/13

13. Major findings of the
 study:-
Dimension wise comparison of pre test score on self
care ability on personal hygiene between the
experimental group and the control group at baseline.
N=30
 Table-1
Dimension Experimental Control group Z-value P-
group(n=15) (n=15) value
MEAN SD MEAN SD
Brushing 10.93 4.62 13.13 5.49 -1.125 0.261
teeth(D1)
Eating (D2) 7.93 4.85 12.20 7.18 -1.66 0.096
Nail care(D3) 3.80 3.69 5.47 6.61 -0.336 0.737
Hair care(D4) 11.80 6.65 12.73 6.64 -0.021 0.983
01/30/13

14. Dimension wise comparison of pre test and
post test score on self care ability on
personal hygiene Within the experimental
group . N=30
TABLE- 2
Dimension Pre test Post test improve Z-value P-
ment value
MEAN SD MEAN SD
Brushing 10.93 4.62 33.80 4.02 22.9 -3.412 0.001
teeth(D1)
Eating (D2) 7.93 4.85 31.47 5.22 23.5 -3.410 0.001
Nail care(D3) 3.80 3.69 29.80 5.99 26.0 -3.415 0.001
Hair care(D4) 11.80 6.65 31.40 5.68 19.6 -3.411 0.001
 Improvement in self care ability and
statically significant at p=0.001. 01/30/13

15. Dimension wise comparison of pre test and
post test score on self care ability on
personal hygiene Within the control group .
N=30
TABLE- 3
Dimension Pre test Post test improve Z-value P-
ment value
MEAN SD MEAN SD
Brushing 13.13 5.49 22.33 5.37 9.2 -3.413 0.001
teeth(D1)
Eating (D2) 12.20 7.18 18.40 6.08 6.2 -3.306 0.001
Nail care(D3) 5.47 6.61 12.13 6.52 6.7 -3.417 0.001
Hair care(D4) 12.73 6.64 20.33 6.32 7.6 -3.424 0.001
 Improvement in self care ability compare
to pre test and post test. 01/30/13

16.  .
Dimension wise comparison of post test score on self
care ability on personal hygiene between the
experimental group and the control group. N=30
 Table-4
Dimension Experimental Control group Z- P-
group(n=15) (n=15) value value
MEAN SD MEAN SD
Brushing 33.80 4.02 22.33 5.37 -4.305 <0.001
teeth(D1)
Eating (D2) 31.47 5.22 18.40 6.08 -4.323 <0.001
Nail care(D3) 29.80 5.99 12.13 6.52 -4.339 <0.001
Hair care(D4) 31.40 5.68 20.33 6.32 -3.931 <0.001
 Highly significantly difference in level of self
care ability in post test score b/w expermental
group and control group since ‘p’ value was 01/30/13

17. Major findings:-
 Even both group had improvement in all
four dimensions, but the experiment group
had significant improvement than the
control group.
 Dimension wise comparison of post test
score b/w experimental & control group
showed that SAP Is significantly
improved the self care ability of subject in
experimental group.
 So null hypothesis was rejected.
01/30/13

18. conclusion
Study was carried out to assess the
effectiveness of structured activity programme
on the level of self care ability on personal
hygiene of patients diagnosed with
schizophrenia.
Finding showed that SAP improved the self
care ability on personal hygiene.
The intervention package would provide
significant implication on field of education,
practice & research.

19. REFERENCES
Bhugra, D.(2005). The global prevalence of schizophrenia.
Plos medicine ,2(5) ,372-373.
 Plante T G. SOCIAL skills training; a
programme to help schizophrenic client cope. Journal of
psychosocial nursing and mental health services 1989;
27(3)- 6-10.
 Robert KH, liberman RP, Alex Kopehwic. Psychosocial
skill training for schizophreniac: lesson from the
laboratory schizophrenia bulletin . 2000;26(1): 21-46
 World health organization. World health report . Mental
health : new understanding, new hope. Geneva.2001


20. Thank you