Liu Liang, Qian Yan, Chen Yanhua
Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, People's Republic of China.
School of Social and Public Administration, East China University of Science and Technology, Shanghai, People's Republic of China.
J Multidiscip Healthc. 2024 Aug 12;17:3907-3916. doi: 10.2147/JMDH.S471009. eCollection 2024.
After acute treatment, patients with schizophrenia return to their original living environment for further rehabilitation, which not only determines the quality of life of the patients and their families but also has an important impact on society. However, patients often find it difficult to adapt to changes in the environment when they are discharged from the hospital. This may be related to the incompleteness of China's mental health service system, as many services for schizophrenia patients are only in the treatment stage. In China, schizophrenia is traditionally associated with poor moral quality, and patients find it difficult to obtain support. Many patients have trouble reintegrating into the community after treatment. Schizophrenic multifamily teams gather families affected by the same illness and pain together to promote healing together in an environment that allows mutual sharing, understanding and transparency, maximizes the use of family resources for support, improves discharge readiness, and better deals with post-discharge recovery.
The multifamily group intervention method was used to improve the motivation of the patients' family motivation as well as the discharge readiness and self-efficacy of the patient.
After the intervention, the motivation of the family and discharge readiness of the patient were improved compared with that of the baseline period; however, the improvement was not significant. The self-efficacy of the patients was significantly improved (P=0.042).
In the discharge preparation of schizophrenia patients, multifamily teams can be used to help patients and their families share resources, enhance support and prepare for discharge. Patients will have better support following discharge for recovery in the community. Additional consideration should be given to the impact of the environment on patient services, and the evaluation of the service process is key to continuously improving the service effect.
精神分裂症患者在急性期治疗后回到原生活环境进行进一步康复，这不仅决定患者及其家庭的生活质量，也对社会有重要影响。然而，患者出院后往往难以适应环境变化。这可能与我国心理健康服务体系不完善有关，因为许多针对精神分裂症患者的服务仅处于治疗阶段。在我国，精神分裂症传统上与道德品质差相关联，患者难以获得支持。许多患者在治疗后难以重新融入社区。精神分裂症多家庭团队将受同一种疾病和痛苦影响的家庭聚集在一起，在一个允许相互分享、理解和坦诚相待的环境中共同促进康复，最大限度地利用家庭资源提供支持，提高出院准备度，并更好地应对出院后的康复。
采用多家庭小组干预方法来提高患者家庭的积极性以及患者的出院准备度和自我效能感。
干预后，与基线期相比，家庭积极性和患者出院准备度有所提高；然而，改善并不显著。患者的自我效能感显著提高（P = 0.042）。
在精神分裂症患者的出院准备中，多家庭团队可用于帮助患者及其家庭共享资源、增强支持并为出院做准备。患者出院后在社区康复时将获得更好的支持。应额外考虑环境对患者服务的影响，而服务过程的评估是持续提高服务效果的关键。
