Madde Kullanım Bozukluğu Olan Bireylere Uygulanan Relaps Önleme Psikoeğitim Programının Relaps Oranı, Sosyal İşlevsellik, Algılanan Esenlik ve Stresle Baş Etme Biçimlerine Etkisi
Özet
The study was planned as an intervention study with a pre-test, post-test and follow-up design and a control group to evaluate the effect of psychoeducation program designed to prevent relapse in individuals, who receive treatment for substance use disorder, on the relapse rate, social functioning, perceived well-being, and coping strategies with stress. The sample of the study consisted of a total of 92 individuals, of which 46 were in the intervention group and 46 were in the control group, who agreed to participate in the research, detoxified, and received treatment for non-alcoholic substance use disorder at AMATEM, in Ankara Numune Training and Research Hospital. Each session of the program, which consists of a total of 10 sessions that took 90-150 minutes each, were provided to the individuals in the intervention group at least once a week according to the designated objectives and agenda set for each session. Personal Information Form, Social Functioning Scale, Perceived Wellness Scale, Coping Strategies with Stress Scale, and urine drug test were used for data collection. The data collection instruments were applied to the individuals in the intervention and control groups for a total of three times, once before the psychoeducation program, after the psychoeducation program, and 3 months after the completion of the program as a follow-up. At the end of the study, although there were relapses in the control group at the rate of 31%, there was no relapse in the intervention group (p<0.05), and at the follow-up after 3 months the relaps rate was 3.4% in the intervention group and 20.7% in the control group (p>0.05). In the intervention group, the "preliminary social activities", "leisure time activities", "independence level competence" sub-scale score averages and the total scale score average of the Social Functioning Scale were found to be significantly higher compared to the control group in all measurements (p<0.05). In the Perceived Well-Being Scale, the total score and mean scores of all the sub-scales except the social sub-scale were found to be significantly higher in all measurements compared to the control group (p<0.05). The mean scores of the "self-confident" and "optimistic" approach sub-scale scores of the Coping Strategies with Stress Scale were found to be increased significantly in all measurements, whereas the mean "helpless" and "submissive" approach sub-scale scores were decreased (p<0.05). In line with the results obtained in the research, it is recommended to continue to provide and integrate the psychoeducation program designed to prevent relapse in individuals with substance use disorder in order to prevent relapses and improve their mental statuses since it has positive effects on the relapse rate, perceived well-being, social functioning and strategies for coping with stress in such individuals.
