J Psy Nurs. 2019; 10(2): 149-154 | DOI: 10.14744/phd.2019.16013

Þizofrenili bir hastada bireyselleþtirilmiþ rehabilitasyon programý: Olgu sunumu

Sibel Coþkun
Dokuz Eylül Universitesi Hemþirelik Fakültesi, Psikiyatri Hemþireliði Anabilim Dalý, Ýzmir

Þizofreni hastalarýnda iþlevsellikte bozulma olup, hem sosyal izolasyon, isteksizlik gibi semptomlar hem de ilaç yan etkileri yaþam kalitesini etkilemekte, bu nedenle hastalarýn tedavi ve rehabilitasyon sürecine, aktivite programlarýna katýlýmý büyük önem taþýmaktadýr. Bu olgu sunumunda toplum ruh saðlýðý merkezinde aktivite programýna isteksiz bir þizofreni hastasýnýn sorun ve gereksinimleri analiz edilmiþ, aile iþbirliði saðlanmýþ, bireye özgü planlanmýþ rehabilitasyon programý kapsamýnda aðýrlýklý olarak davranýþçý teknikler uygulanmýþtýr. 6 aylýk süreç deðerlendirildiðinde hastanýn iþlevselliði ve yaþam kalitesi artmýþ, semptomlarý azalmýþ, aktivitelere katýlýmý saðlanmýþtýr. Sonuç olarak, kronik ruhsal hastalýklarda rehabilitasyon programlarýnýn bireye özgü planlanmasý, davranýþçý yöntemlere yer verilmesi yarar saðlamaktadýr. Uzmanlaþmýþ psikiyatri hemþireleri rehabilitasyon programlarýnda ve danýþmanlýkta daha etkin rol alabilmelidir.

Anahtar Kelimeler: Danýþmanlýk, davranýþçý yaklaþým; olgu yönetimi; psikiyatrik rehabilitasyon; þizofreni.

---

Individualized rehabilitation program for a schizophrenic patient: a case report

Sibel Coþkun
Department of Psychiatric Nursing, Dokuz Eylül University Faculty of Nursing, Ýzmir, Turkey

Impaired functioning in schizophrenic patients and symptoms like social isolation and unwillingness to interact with others and drug side effects affect their quality of life. Therefore, the participation of schizophrenic patients in rehabilitation processes and activity programs is very important. In this case report, the problems and needs of a patient who was reluctant to join the activity program in the community mental health center were analyzed, and within the context of a family-specific, individually planned rehabilitation program, behavioral techniques were predominantly applied. When the 6-month period was evaluated, the patient's functioning and quality of life level had increased, his symptoms had decreased, and he had a greater level of participation in activities. From this case report, it can be concluded that it is beneficial to implement individual rehabilitation programs for chronic mental illness patients and to apply behavioral therapy methods. Moreover, specialist psychiatric nurses should take a more active role in rehabilitation and counselling programs.

Keywords: Behavioral approach, case management; counseling; psychiatric rehabilitation; schizophrenia.

---

ATIF KOPYALA