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在意大利为精神分裂症患者及其家属实施心理教育干预措施。

Implementing psychoeducational interventions in Italy for patients with schizophrenia and their families.

作者信息

Magliano Lorenza, Fiorillo Andrea, Malangone Claudio, De Rosa Corrado, Maj Mario

机构信息

Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, Naples, I-80138, Italy.

出版信息

Psychiatr Serv. 2006 Feb;57(2):266-9. doi: 10.1176/appi.ps.57.2.266.

Abstract

OBJECTIVE

This study explored the feasibility of providing psychoeducational interventions for persons with schizophrenia and their families.

METHODS

The study was carried out in 23 Italian mental health centers. Two professionals from each center attended three monthly training sessions on psychoeducational interventions. After the training, each professional provided informative sessions on schizophrenia to five families of service users with schizophrenia, which consisted of three meetings with each family on clinical aspects of schizophrenia, drug treatments, and detection of early signs of relapse. Each professional then provided the intervention to families for six months.

RESULTS

Thirty-eight of the 46 participants completed the training course, and 34 provided the intervention to 71 families. Twenty-nine of the 34 provided the entire intervention to the families and five of the 34 held only informative sessions on schizophrenia. Ninety-one percent of the participants who completed the study reported difficulties in integrating the intervention with their other work responsibilities, and 96 percent acknowledged the positive effect that the intervention had on the center's relationship with patients with schizophrenia and their families.

CONCLUSIONS

These results support the idea that it is possible to introduce psychoeducational interventions in mental health services after a relatively brief period of training and supervision.

摘要

目的

本研究探讨了为精神分裂症患者及其家属提供心理教育干预措施的可行性。

方法

该研究在23个意大利心理健康中心开展。每个中心的两名专业人员参加了为期三个月的心理教育干预培训课程。培训结束后,每位专业人员为五名精神分裂症服务使用者的家庭举办了关于精神分裂症的信息交流会,其中包括与每个家庭就精神分裂症的临床方面、药物治疗以及复发早期迹象的检测进行三次会面。随后,每位专业人员为这些家庭提供了为期六个月的干预措施。

结果

46名参与者中有38人完成了培训课程,34人对71个家庭实施了干预措施。34人中的29人为这些家庭提供了完整的干预措施,34人中的5人仅举办了关于精神分裂症的信息交流会。完成研究的参与者中有91%报告称在将干预措施与他们的其他工作职责相结合时存在困难,96%的人承认该干预措施对中心与精神分裂症患者及其家属的关系产生了积极影响。

结论

这些结果支持了这样一种观点,即在经过相对短暂的培训和监督后,有可能在心理健康服务中引入心理教育干预措施。

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