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精神分裂症患者心理教育干预的随机对照试验的系统评价。

A systematic review of randomized controlled trials of psychoeducation interventions for patients diagnosed with schizophrenia.

机构信息

Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Fakultas Keperawatan, Universitas Airlangga, Surabaya, Indonesia.

出版信息

Int J Soc Psychiatry. 2020 Sep;66(6):542-552. doi: 10.1177/0020764020919475. Epub 2020 Jun 7.

DOI:10.1177/0020764020919475
PMID:32507073
Abstract

BACKGROUND

Schizophrenia is one of the most complicated psychiatric disorders, and, although medication therapy continues to be the core treatment for schizophrenia, there is a need for psychotherapy that helps in providing patients comprehensive mental health care. Psychoeducation is one of the most recognized psychosocial interventions specific to schizophrenia. Further knowledge about the impact of this type of intervention on patients diagnosed with schizophrenia needs to be acquired.

AIM

This review aimed to explore the effects of psychoeducational interventions on improving outcome measures for patients diagnosed with schizophrenia.

METHODS

The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guideline was used in this systematic review. Two reviewers were involved in screening articles for inclusion and in the data extraction process. The selected studies were assessed for quality using the 'Consolidated Standards of Reporting Trial (CONSORT)' checklist. Out of the 441 records identified, 11 papers were considered for full review (from 2000 to 2018).

RESULTS

The psychoeducational interventions showed a consistent improvement in many outcome measures. Most of the reviewed studies focused on outpatients and the method of delivering the psychoeducational interventions was mostly in lecture format.

CONCLUSION

This systematic review of randomized controlled trial studies emphasizes the positive impact of psychoeducational interventions for patients diagnosed with schizophrenia concerning various outcome measures. The findings of this review have important implications for both nursing practice and research, as the information presented can be used by the administrators and stakeholders of mental health facilities to increase their understanding and awareness of the importance of integrating psychoeducational interventions in the routine care of patients diagnosed with schizophrenia.

摘要

背景

精神分裂症是最复杂的精神障碍之一,尽管药物治疗仍然是精神分裂症的核心治疗方法,但需要心理治疗来为患者提供全面的心理健康护理。心理教育是针对精神分裂症的最公认的心理社会干预之一之一。需要进一步了解这种干预类型对诊断为精神分裂症的患者的影响。

目的

本综述旨在探讨心理教育干预对改善精神分裂症患者预后指标的影响。

方法

本系统评价使用了系统评价和荟萃分析的首选报告项目(PRISMA)指南。两名评审员参与了筛选纳入文章和数据提取过程。使用“临床试验报告标准(CONSORT)”清单评估选定的研究质量。在确定的 441 条记录中,有 11 篇被认为是完整审查(2000 年至 2018 年)。

结果

心理教育干预在许多预后指标上均显示出一致的改善。大多数综述研究都集中在门诊患者身上,心理教育干预的实施方法大多采用讲座形式。

结论

本系统评价对随机对照试验研究的综述强调了心理教育干预对精神分裂症患者在各种预后指标方面的积极影响。本综述的结果对护理实践和研究都具有重要意义,因为提出的信息可被精神卫生机构的管理人员和利益相关者用来提高他们对在精神分裂症患者常规护理中整合心理教育干预的重要性的理解和认识。

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