Authors (including presenting author) :
TO KL(1), Cheng SY(1), Chui LT(1), Ng KY(1), Lam KHD(1)
Affiliation :
(1)Department of Psychiatry, Kowloon Hospital
Keyword 1: :
Emotional resilience
Keyword 2: :
Mental wellness promotion
Keyword 3: :
Self-awareness
Keyword 4: :
Emotional regulation
Introduction :
In Hong Kong, emotional resilience has been well established as a positive factor in promoting wellness and protecting mental health. In psychiatric rehabilitation care, application of emotional resilience enhancement program has been recommended for promoting mental wellness and building emotional resilience in patient's recovery journey. Putting emphasis on providing high-quality care, a new emotional resilience enhancement program is formulated in this project. It is purposively to promote patients' mental wellness through enhancing their emotional resilience, which ultimately increasing their own ability to bounce back from adversities, take care of their mental wellbeing and reduce hospital re-admissions in long run.
Objectives :
1. To formulate a Emotional Resilience Enhancement Program for in-patients. 2. To investigate the effectiveness of emotional resilience enhancement interventions in improving mood, emotional control, self-esteem, mental wellness, communication, and social interaction of psychiatric rehabilitation patients.
Methodology :
This structured program is designed to promote mental wellness via emotional resilience enhancement through total 5 sessions, 45-60 minutes each, in one-to-one or small group-based approach by psychiatric registered nurses within 2 weeks. To begin with, therapeutic relationships with participants will be established. An introduction of the program will be provided before the sessions started and pre-assessment will be done in the beginning session of the program. Five boxes of equipment with different themes will be designed to facilitate the programme in the five different sessions accordingly. Various elements will be used such as “emotions & feelings matching cards”, videos, music, several stationery and writing materials for crafting participants’ “Gratitude Journal” and “Emotion Diary”. The measuring instruments adopted in this program including Life Skills Profile 39 (LSP-39), the Chinese Version of the Short Warwick-Edinburgh Mental Well-Being Scale (C-SWEMWBS); Rosenberg Self-esteem Scale (RSES) and self-satisfaction questionnaires with feedback forms for evaluation of each session and overall of the program.
Result & Outcome :
Of the total 36 participants, mean of pre-LSP-39 was 104.8 while mean of post-LSP-39 was 125.5. 91.7% of them were having higher scores after the program, indicating majority of them had a positive effect on practical life skills and social functions. Among sub-scales of LSP-39, all showed higher scores after the program, indicating there were positive effects among their psychosocial functions, including self-care, non-turbulence, social contact, communication and responsibility. Among the improvements of sub-scales, the greatest was ‘Non-turbulence’ pre-test mean 31.6 increased to post-test mean 39.0, followed by ‘Self-care’ pre-test mean 27.7 increased to post-test mean 32.6 and ‘Social contact’ pre-test mean 16.1 increased to post-test mean 19.6. The mean of C-SWEMWBS (n=36, 100%) and RSES (n=34, 94.4%) was increased from pre-test 17.9 to post-test 23.2 and pre-test 13.1 to post-test 20.7 respectively, indicating improvements on their mental wellness and self-esteem.
