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Browsing Health Sciences by Author "Annandale, J. C. A."
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Item Open Access Die korttermyn invloed van sensoriese integrasie intervensie op die geestesgesondheidsorg verbruiker met versteurings gekenmerk deur simptome van psigose(University of the Free State, 2013-02) Annandale, J. C. A.; Van Jaarsveld, A.; Van Heerden, S. M.; Nel, M.English: The Mental Health Care User (MHCU) with psychosis presents with symptomology that impairs functionality and occupational performance. This limits the ability of the MHCU to perform activities of daily living and to actively take part in Occupational Therapy treatment. Sensory integration intervention addresses the functionality and the occupational performance of the MHCU (Smith-Roley, Mailloux, Miller-Kuhaneck & Glennon, 2007:1). The short term influence of sensory integration intervention on the MHCU with disorders charactarised by symptoms of psychosis was investigated by using a quantitative, randomised, controlled single blind clinical trial. The Ethics Committee of the Faculty of Health Sciences, Universtiy of the Free State, approved the study (ETOVS 30/11). Data were collected between October 2011 and July 2012 at the acute wards of a psychiatric institution in the Free State. Ninety-nine (99) MHCU‟s with symptoms of psychosis participated in the study. The median age of the study participants in the two groups varied between the ages of 30 and 32 years and 65.7% of the participants were males. Participants adhering to the inclusion criteria checklist were divided into an experimental and a controle group through a process of randomization and matching. Matching was done according to age, gender, level of functioning and pathology. The occupational performance of both groups were established with the “Therapeutic Functional Level Assessment” (TFLA) and the sensory integration dysfunction of the experimental group were established with the “Schroeder, Block & Campbell Adult Psychiatric Sensory Integration Measure” (SBC). After the pre-tests both groups were exposed to the standard Occupational Therapy intervention program of the specific wards and the experimental group was exposed to a two week (eight sessions) sensory integration intervention program. The TFLA and the SBC were used in the same manner to do the post-tests. The same assessors (qualified Occupational Therapists) were used to do the pre- an post-tests. The medication and the level of psychosis were also noted on a daily basis. These notes were completed according to the process notes of the clinical staff of the specific wards. Results were analysed by the Department of Biostatistics, University of the Free State. Despite the fact that there were limited statistically significant differences observed during the study, both groups showed clinical improvements. The experimental group showed statistically significant differences in the improvement of selfcare, social behaviour (logical speech and communication), appearance and the occurance of delusions and hallucinations, when compared to the control group. The SBC showed a statistical difference in the physical assesment aspects of the experimental group. Improvements were noted in the vestibular-proprioceptive system, the somatosensory system and the visual-vestibular system. Ongoing research with regard to the effect of sensory integration intervension on the MHCU appears to be warrented and will be of value within this field. Occupational Therapists should consider using sensory integration intervention, together with the standard Occupational Therapy intervention program in the treatment of the MHCU with psychosis in order to optimise function.