Abstract
Intervention study of hospital-community-home therapy alliance on recurrence of severe psychosis
  
DOI:
EN KeyWords: hospital-community-family treatment alliance  severe mental illnesses  readmission  social Disability screening schedule  the personal and social performance scale
Fund Project:萧山区科技局项目(2015206)
作者单位
傅正闯 萧山医院精神卫生中心,杭州 311200 
任建娟 萧山医院精神卫生中心,杭州 311200 
周建红 萧山医院精神卫生中心,杭州 311200 
俞锴 萧山医院精神卫生中心,杭州 311200 
郑亚丽 萧山医院精神卫生中心,杭州 311200 
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EN Abstract:
  Objective: To intervene in patients with severe mental illness using the hospital-community-family treatment alliance to observe its impact on disease recurrence. Methods: 200 patients with severe mental illness admitted from January 1, 2016 to March 31, 2016 were divided into intervention group and control group. Patients in the intervention group participated in hospital-community-family treatment, and those in the control group received the original treatment mode and no special intervention was given after discharge. The recurrence and re-hospitalization within one year and social function levels were compared between two groups. Results: The re-admission rate and average hospitalization time were significantly reduced in the intervention group as compared with those in the control group (P<0.05). The treatment efficiency and clinical cure rate in the intervention group were significantly increased as compared with those in the control group (P>0.05). There were significant differences in the Social Disability Screening Schedule (SDSS) and the Personal and Social Performance Scale (PSP) scores (P<0.05) between the pre-treatment and the four follow-up periods. The SDSS scores in the intervention group were lower than those in the control group at 6th and 12th month after discharge. The PSP score was significantly higher in the intervention group than that in the control group at 3rd, 6th and 12th month after discharge (P<0.05). Conclusion: The hospital-community-family treatment alliance can reduce the recurrence of severe mental illness, and is more conducive to the recovery of social function, which is worth promoting.
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