Chien Wai Tong
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, P.R. China.
Open Nurs J. 2008;2:28-39. doi: 10.2174/1874434600802010028. Epub 2008 Apr 22.
Schizophrenia is a disruptive and distressing illness, not only for the person affected but also for family members. Family intervention, particularly in a group format using a diverse range of modalities, is thought to effectively satisfy the informational needs of families and enhance their coping abilities when caring for a relative with schizophrenia, and thus reduce a patient's relapse from illness. This study tested the hypothesis that participants in a family psychoeducation and mutual support group would demonstrate significant improvements in levels of patient and family functioning and shorter duration of re-hospitalization than families in routine care. A randomized controlled trial was conducted with a sample of 68 Chinese families of schizophrenia sufferers in Hong Kong, who were randomly assigned to either a family psychoeducation and support group (n = 34), or a routine care group (n = 34). The interventions were delivered at two psychiatric outpatient clinics over a nine-month period. Results of multivariate analyses of variance test indicated that the psychoeducation and support group reported greater improvements on family and patient functioning and shorter lengths of patient hospitalizations at the two post-tests (one month and one year after completion of the intervention), compared with the routine care group. The findings substantiate that within a Chinese context, psychoeducation and mutual support group intervention can effectively help families care for a mentally ill relative.
精神分裂症是一种具有破坏性且令人痛苦的疾病,不仅对患者本人,对其家庭成员也是如此。家庭干预,尤其是采用多种方式的小组形式的干预,被认为能有效满足家庭的信息需求,并增强他们照顾精神分裂症亲属时的应对能力,从而减少患者病情复发。本研究检验了这样一个假设:与接受常规护理的家庭相比,参加家庭心理教育与互助小组的参与者在患者和家庭功能水平上会有显著改善,且再次住院的时间会更短。对香港68个精神分裂症患者的中国家庭样本进行了一项随机对照试验,这些家庭被随机分为家庭心理教育与支持小组(n = 34)或常规护理组(n = 34)。干预措施在两家精神科门诊诊所进行,为期九个月。多变量方差分析测试结果表明,与常规护理组相比,心理教育与支持小组在两次测试后(干预结束后一个月和一年),在家庭和患者功能方面有更大改善,患者住院时间更短。研究结果证实,在中国背景下,心理教育与互助小组干预能有效帮助家庭照顾患有精神疾病的亲属。