精神分裂症患者家庭照顾者的精神分裂症照护管理方案。
The schizophrenia care management program for family caregivers of Chinese patients with schizophrenia.
机构信息
School of Nursing, Faculty of Health and Social Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
出版信息
Psychiatr Serv. 2010 Mar;61(3):317-20. doi: 10.1176/ps.2010.61.3.317.
OBJECTIVES
This study tested the effectiveness of a schizophrenia care management program for family caregivers of Chinese patients with schizophrenia in Hong Kong.
METHODS
A multisite controlled trial was conducted with 92 patient-caregiver dyads. They were randomly assigned to either the schizophrenia care management program or to usual care. The patients' symptoms, functioning, and length of rehospitalization and their families' perceived social support, expressed emotion, and functioning were measured at recruitment and at one month and 15 months after the intervention.
RESULTS
Compared with families in the usual care group, families in the schizophrenia care management program reported significantly greater improvements in families' and patients' functioning and caregivers' perceived social support and decreases in the number and length of patients' rehospitalization.
CONCLUSIONS
The findings provide evidence that the multidisciplinary schizophrenia care program can improve the psychosocial functioning of patients and their families and social support of caregivers.
目的
本研究测试了一种针对香港中文精神分裂症患者家庭照顾者的精神分裂症护理管理计划的有效性。
方法
采用多站点对照试验，共纳入 92 对患者-照顾者。他们被随机分配到精神分裂症护理管理计划组或常规护理组。在招募时以及干预后 1 个月和 15 个月时，测量患者的症状、功能以及再住院次数，以及其家庭感知的社会支持、表达的情绪和功能。
结果
与常规护理组家庭相比，精神分裂症护理管理计划组家庭的患者和家庭功能以及照顾者感知的社会支持显著改善，患者再住院次数和时间减少。
结论
研究结果表明，多学科精神分裂症护理计划可以改善患者及其家庭的社会心理功能和照顾者的社会支持。
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