1. “安全屋”家庭教育对社区 精神分裂症患者症状的影响.
- Author
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蔡颖, 樊理诗, 何锐, 丁永卓, 何志城, 孔德莉, 范箬馨, 马弘, and 孙昕霙
- Abstract
Objective: To explore suitable family education measures for community-based schizophrenia patients in China for improving patients' symptoms and detecting deterioration of symptoms in time, and evaluate the intervention's effects. Methods: This study was conducted in 4 cities in eastern, central and western China. A total of 298 families of patients from 42 communities were recruited based on the inclusion criteria. Totally 150 families and 148 families were enrolled in the intervention group and the control group randomly. The intervention group received a family education based on social cognitive theory, namely "safe shelter", and the control group got a routine management program in the community for 12 months. With the support of the "safe shelter", the families of patients in the intervention group assessed the early signs of relapse (worsening) at least once a month, and took corresponding measures according to the score. At baseline and at the end of the 12th month, using the Clinical Global Impression (CGI) scale, the community mental health workers evaluated severity of illness (SI), global improvement (GI) and efficacy Index (EI). The primary outcome was the difference of two groups' CGI-SI score changes between the end of the 12th month and baseline. Results: Before and after the intervention, the CGI-SI scores in the intervention group[ 2.8 plus/minus 0.7 ) vs. (2.1 plus/minus 1) ] and the control group [ (2.8 plus/minus 1.1) vs. (2.5 plus/minus 1.2) * 1 were both significantly reduced (P_{s} < 0.05), and the changes were significantly 0.3 larger in the intervention group than in the control group (P < 0.001) . The CGI-GI scores were significant decreased in both of the intervention group and the control group (P_{s} < 0.05) . Compared with the baseline, the CGI-EI scores were significantly in- creased at the end of the 12th month in the intervention group (P < 0.05), while no statistical difference was found in the control group (P > 0.05) . Conclusion: The family education could effectively improve the disease symptoms, consolidate the therapeutic effect, avoid relapse and maintain the state of recovery. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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