Universitas Muhammadiyah Yogyakarta, School of Medicine, (Psychiatric Medicine Department), Indonesia.
Universitas Muhammadiyah Yogyakarta, School of Nursing, (Psychiatric Nursing Department), Indonesia.
Asian J Psychiatr. 2019 Apr;42:67-73. doi: 10.1016/j.ajp.2019.03.022. Epub 2019 Mar 27.
The persistent disability and low Quality of Life (QoL) are the impacts of schizophrenia. Community-Based Rehabilitation (CBR) is recommended for people with schizophrenia. The objective of this study is to analyze the effectiveness of CBR to improve the quality of life of people with schizophrenia.
It was a quasi-experimental study, conducted in February-December 2017, in Yogyakarta, Indonesia. Subjectwere people with schizophrenia, 18-56 years old, with their caregiver. CBRintervention using psychoeducation module and social skill module during 12 weeks. It was conducted by local health workers, sub district social welfare workers, community health workers (called Kader in Indonesia) and supervised by a psychiatrist. The QoL was assessed using a validated measuring instrument at the baseline and at the week 16. Hypothesis test using Wilcoxon test RESULTS: There were 100 people with schizophrenia involved in the study. They were divided into intervention group and control group. Every group consists of 50 subjects. Both groups had similar characteristics at the baseline. The intervention group received CBR, whereas the control group didn't. Thirty-four people (68%) of intervention group increased their QoL, whereas in the control group there were twenty-three people (46%) increased their QoL. The QoL decrease occurred in one subject (4%) from the control group. Other subjects had constant QoL. Improvement of QoL in the intervention group is higher than the control group (p < 0.05).
CBR is effective for improving the QoL of people with schizophrenia in the community. CBR is conducted by the health worker and sub-district social welfare worker.
精神分裂症的影响是持续残疾和低生活质量。社区康复（CBR）被推荐用于精神分裂症患者。本研究的目的是分析 CBR 对改善精神分裂症患者生活质量的效果。
这是一项准实验研究，于 2017 年 2 月至 12 月在印度尼西亚日惹进行。研究对象为 18-56 岁的精神分裂症患者及其照顾者。CBR 干预措施包括在 12 周内使用心理教育模块和社会技能模块。由当地卫生工作者、区社会福利工作者、社区卫生工作者（在印度尼西亚称为 Kader）进行，并由精神科医生监督。使用经过验证的测量工具在基线和第 16 周评估生活质量。使用 Wilcoxon 检验进行假设检验。
共有 100 名精神分裂症患者参与了这项研究。他们被分为干预组和对照组，每组各有 50 名患者。两组在基线时具有相似的特征。干预组接受 CBR，而对照组则没有。干预组中有 34 人（68%）生活质量提高，而对照组中有 23 人（46%）生活质量提高。对照组中有 1 人（4%）生活质量下降。其他患者的生活质量保持不变。干预组的生活质量改善程度高于对照组（p<0.05）。
CBR 对改善社区精神分裂症患者的生活质量有效。CBR 由卫生工作者和区社会福利工作者进行。
