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◇
. .  學
纏繞畫對降低思覺失調症病患焦慮行為成效探討 48 術
論

著
 ◇
The Effectiveness of Using Zentangle to Reduce Anxiety Disorder


for Schizophrenia Patients






Chen, Yu-Chi1 Li, Li-Zhi2 Cheng, Wen-Wen3 Lo, Hui-Min4* Hsu, Nan-Ly5


1Nurse , Department of Nursing, Taipei Venterans General Hospital Su-Ao & Yuanshan Branch ,Yi-lan, Taiwan 

2Director, Department of Nursing, Taipei Venterans General Hospital Su-Ao & Yuanshan Branch ,Yi-lan, Taiwan 
3
Nurse, Department of Nursing, Taipei Venterans General Hospital Su-Ao & Yuanshan Branch ,Yi-lan, Taiwan 
4RN,PHD, Assistant Professor and Director, Department of Nursing, St.

5 Professor,Yuanpei University of Medical Technology



Abstract


Background: Patients with psychosis due to illness often causes anxiety behavior. It will affect patients’ 
emotional mood and loss of self-confidence. It was also a negative impact decreasing quality of life. 

Purposes: To understand the teaching contents of Zentangle; and to investigate the impact of psychosis 

patients on self-esteem and anxiety interaction support by using Zentangle 8 weeks courses.


Methods: This research started from November 28, 2014 and ended to January 9, 2015. Self-esteem and 

social interaction anxiety questionnaires were used. A program of introducing Zentangle activities were used 

for 60 minutes, once a week for eight weeks. Samples 44 of patients were randomly assigned to the control 
group 22 and 22 to the experimental group. In addition to the experimental group of routine occupational 

therapy activities, another add activity was Zentangle. Data processing by SPSS 17.0 statistical software 

package were used to analyze data.


Results: The results showed the experimental group in self-esteem part by the pretest was (M = 3.81) and 

eight weeks after intervention of Zentangle activity was (M= 4.32), There were signi cant difference between 
pre and posttest. For social interaction anxiety scores, before the intervention was 4.12, after intervention 

8 weeks decreasing to 2.77. There were signi cantly differences between before and after using Zentangle 

intervention. Control group for self-esteem part was (M = 3.65) and the eight weeks (M = 3.98); social 
interaction anxiety before was 4.09 and after eighth weeks 4.32, there were no decreasing anxiety. There 

were no signi cant difference between before and after test for control group..
J
ou
Conclusion / Practical application: The results of this study could be used as reference for clinical rna
l o
personnel Education on thinking sleep disorder care of patients.
f H
eal
th a
nd
Keyword: psychosis disorders, self-esteem, social anxiety.
 Ar
chi
tec
Accepted for publication: March 19 , 2016
tur
e 
Corresponding author : Lo, Hui-Min
V
Address : No.100, Ln. 265, Sec. 2, Sanxing Rd., Sanxing Township,Yilan County 266, Taiwan (R.O.C.) olu
me
Tel : 03-9897396*600
3‧
N
E-mail : hmlo@smc.edu.tw
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