Effectiveness of Psychiatric Home-Care in the Treatment Outcome in Newly Discharged Patients with Schizophrenia- A Randomized Control Trial
Background and Aim: Schizophrenia is a disabling disorder with a complex and chronic nature. Home-visit is a recent approach used for the treatment of the patients with schizophrenia. This study aimed to investigate and compare the effect of this approach on the severity of symptoms, length and dura...
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| Format: | Article |
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Kurdistan University of Medical Sciences
2022-01-01
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| Series: | مجله علمی دانشگاه علوم پزشکی کردستان |
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| Online Access: | http://sjku.muk.ac.ir/article-1-6233-en.html |
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| author | marzeyeh moghadam Golnia Saed Fateh Sohrabi Sara Modaresi Narges ُShams-Alizadeh |
| author_facet | marzeyeh moghadam Golnia Saed Fateh Sohrabi Sara Modaresi Narges ُShams-Alizadeh |
| author_sort | marzeyeh moghadam |
| collection | DOAJ |
| description | Background and Aim: Schizophrenia is a disabling disorder with a complex and chronic nature. Home-visit is a recent approach used for the treatment of the patients with schizophrenia. This study aimed to investigate and compare the effect of this approach on the severity of symptoms, length and duration of hospitalization between the patients with schizophrenia and patients in the control group.
Materials and Methods: This was a randomized control trial. Among the discharged patients, 26 met our inclusion criteria. After informed consent, they were placed into intervention and control groups. The intervention group received after-care services for one year. The control group did not receive any intervention except for their pharmacological treatment. The number of hospitalizations and mean duration of hospitalizations of the patients along with the Positive and Negative Symptoms of Schizophrenia Scale (PANSS) were evaluated three times (before the intervention, 6 months and also 12 months after receiving the intervention). Using SPSS 20, data were analyzed, by descriptive methods and repeated measures analysis of variance.
Results: This study included 26 persons (19 male, 7 Female) with mean age of 37.6 years and SD =12.2, which showed no significant differences in the variables in the baseline data. Results of statistical analysis showed significant decrease in all of the three variables in the intervention group compared with those in the control group. These changes maintained during the one-year follow-up.
Conclusion: Results showed that home-visit is an effective program to covers some needs of the patients with schizophrenia. It also decreased the severity of the symptoms and length of hospitalization. Increasing regular intervention program during the follow up periods can probably lead to better results. |
| first_indexed | 2024-04-13T21:33:20Z |
| format | Article |
| id | doaj.art-5e9536a03e98485aa68f466f1662e4a1 |
| institution | Directory Open Access Journal |
| issn | 1560-652X 2345-4040 |
| language | fas |
| last_indexed | 2024-04-13T21:33:20Z |
| publishDate | 2022-01-01 |
| publisher | Kurdistan University of Medical Sciences |
| record_format | Article |
| series | مجله علمی دانشگاه علوم پزشکی کردستان |
| spelling | doaj.art-5e9536a03e98485aa68f466f1662e4a12022-12-22T02:29:05ZfasKurdistan University of Medical Sciencesمجله علمی دانشگاه علوم پزشکی کردستان1560-652X2345-40402022-01-0126797107Effectiveness of Psychiatric Home-Care in the Treatment Outcome in Newly Discharged Patients with Schizophrenia- A Randomized Control Trialmarzeyeh moghadam0Golnia Saed1Fateh Sohrabi2Sara Modaresi3Narges ُShams-Alizadeh4 MD. Department of Psychiatry, Kurdistan University of Medical Sciences, Sanandaj, Iran M.Sc. of Clinical psychology, Kurdistan University of Medical Sciences, Sanandaj, Iran. Ph.D. Candidate of Clinical Psychology, Shahid Beheshti University of Medical science, Tehran, Iran M.Sc. of Clinical psychology, Kurdistan University of Medical Sciences, Sanandaj, Iran. MD. Kurdistan Research center for social determinants of health, Kurdistan University of Medical Sciences, Sanandaj, Iran. Background and Aim: Schizophrenia is a disabling disorder with a complex and chronic nature. Home-visit is a recent approach used for the treatment of the patients with schizophrenia. This study aimed to investigate and compare the effect of this approach on the severity of symptoms, length and duration of hospitalization between the patients with schizophrenia and patients in the control group. Materials and Methods: This was a randomized control trial. Among the discharged patients, 26 met our inclusion criteria. After informed consent, they were placed into intervention and control groups. The intervention group received after-care services for one year. The control group did not receive any intervention except for their pharmacological treatment. The number of hospitalizations and mean duration of hospitalizations of the patients along with the Positive and Negative Symptoms of Schizophrenia Scale (PANSS) were evaluated three times (before the intervention, 6 months and also 12 months after receiving the intervention). Using SPSS 20, data were analyzed, by descriptive methods and repeated measures analysis of variance. Results: This study included 26 persons (19 male, 7 Female) with mean age of 37.6 years and SD =12.2, which showed no significant differences in the variables in the baseline data. Results of statistical analysis showed significant decrease in all of the three variables in the intervention group compared with those in the control group. These changes maintained during the one-year follow-up. Conclusion: Results showed that home-visit is an effective program to covers some needs of the patients with schizophrenia. It also decreased the severity of the symptoms and length of hospitalization. Increasing regular intervention program during the follow up periods can probably lead to better results.http://sjku.muk.ac.ir/article-1-6233-en.htmlschizophreniahome-careseverity of symptomhospitalization. |
| spellingShingle | marzeyeh moghadam Golnia Saed Fateh Sohrabi Sara Modaresi Narges ُShams-Alizadeh Effectiveness of Psychiatric Home-Care in the Treatment Outcome in Newly Discharged Patients with Schizophrenia- A Randomized Control Trial مجله علمی دانشگاه علوم پزشکی کردستان schizophrenia home-care severity of symptom hospitalization. |
| title | Effectiveness of Psychiatric Home-Care in the Treatment Outcome in Newly Discharged Patients with Schizophrenia- A Randomized Control Trial |
| title_full | Effectiveness of Psychiatric Home-Care in the Treatment Outcome in Newly Discharged Patients with Schizophrenia- A Randomized Control Trial |
| title_fullStr | Effectiveness of Psychiatric Home-Care in the Treatment Outcome in Newly Discharged Patients with Schizophrenia- A Randomized Control Trial |
| title_full_unstemmed | Effectiveness of Psychiatric Home-Care in the Treatment Outcome in Newly Discharged Patients with Schizophrenia- A Randomized Control Trial |
| title_short | Effectiveness of Psychiatric Home-Care in the Treatment Outcome in Newly Discharged Patients with Schizophrenia- A Randomized Control Trial |
| title_sort | effectiveness of psychiatric home care in the treatment outcome in newly discharged patients with schizophrenia a randomized control trial |
| topic | schizophrenia home-care severity of symptom hospitalization. |
| url | http://sjku.muk.ac.ir/article-1-6233-en.html |
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