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对精神分裂症患者家属进行心理教育的效果

Effects of Psychoeducation Given to Caregivers of People With a Diagnosis of Schizophrenia.

作者信息

Bulut Müge, Arslantaş Hülya, Ferhan Dereboy İbrahim

机构信息

a Adnan Menderes University, Research and Teaching Hospital Psychiatry Clinic , Aydin , Turkey.

b Adnan Menderes University , Aydin Health Sciences Institute Department of Mental Health Nursing , Aydin , Turkey.

出版信息

Issues Ment Health Nurs. 2016 Nov;37(11):800-810. doi: 10.1080/01612840.2016.1222039. Epub 2016 Oct 3.

Abstract

The aim of this study was to evaluate the effectiveness of psychoeducation given to caregivers of patients diagnosed with schizophrenia on their perceptions of burden and on clinical course of patients. This was a quasi-experimental study with pre-post tests and a control group and designed as a nonrandomized controlled intervention trial. While the patients in both the intervention and the control group received treatment as usual (TAU), only the caregivers in the study group were offered two sessions of psychoeducation a week for one month, with a total of eight sessions. Effectiveness of the psychoeducation given was evaluated by comparing scores of Perceived Family Burden Scale (PFBS) and Positive and Negative Syndrome Scale (PANSS) obtained before and three months after delivery between the intervention and the control groups. Mean PFBS burden scores of the control group at baseline and follow-up were 45.7 and 44.5, respectively. Mean PFBS burden scores of the intervention group were 45.2 at baseline and 38.6 at follow-up. Analysis of variance revealed significant and medium to large size interaction effects of time and group factors on total burden scores of family members (F = 5.59; p < 0.05; η = 0.09) and on total PANSS scores of patients (F = 104.78; p < 0.001; η = 0.64). Our findings suggest that psychoeducation offered to the caregivers along with TAU offered to patients might result in diminished perceptions of burden among caregivers and enhanced improvement in the clinical course of patients as a result of psychoeducation offered to caregivers.

摘要

本研究的目的是评估对被诊断为精神分裂症患者的照料者进行心理教育,对其负担认知以及患者临床病程的影响。这是一项采用前后测试和对照组的准实验研究,设计为非随机对照干预试验。干预组和对照组的患者均接受常规治疗(TAU),而研究组的照料者在一个月内每周接受两次心理教育课程,共八次。通过比较干预组和对照组在授课前及授课后三个月所获得的家庭负担感知量表(PFBS)和阳性与阴性症状量表(PANSS)得分,来评估所给予心理教育的效果。对照组在基线和随访时的平均PFBS负担得分分别为45.7和44.5。干预组的平均PFBS负担得分在基线时为45.2,随访时为38.6。方差分析显示,时间和组因素对家庭成员的总负担得分(F = 5.59;p < 0.05;η = 0.09)以及患者的总PANSS得分(F = 104.78;p < 0.001;η = 0.64)具有显著的中到大型交互作用。我们的研究结果表明,在患者接受TAU治疗的同时,对照料者进行心理教育,可能会降低照料者的负担认知,并由于对照料者进行心理教育而使患者的临床病程得到更大改善。

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