| Objective: To examine the intervention effects of the user-family-expert service model on symptoms, social functioning, and self-awareness in community-based schizophrenia patients. To explore the relationship between service performance evaluation and the amount of improvement in intervention effects in this model. Methods: Totally, 98 patients with schizophrenia who were included in the National Information System for Severe Mental Disorders in Chongqing were selected as research subjects, and divided into intervention group (48 cases) and control group (50 cases). Patients in both groups received conventional medication and regular visits, and the intervention group received a 6-month user-family-expert service model intervention additionally. Positive And Negative Syndrome Scale (PANSS), Social Disability Screening Schedule (SDSS), Insight and Treatment Attitude Questionnaire (ITAQ) were adopted before and after the intervention and the intervention effects were assessed. The relationship between the service performance evaluation scores in the intervention group and the amount of improvement in the intervention effect was also statistically analyzed. Results: The negative symptom scores, general psychopathological symptom scores of PANSS, total PANSS scores and SDSS scores at 3rd and 6th month after the intervention showed a gradual decrease in the intervention group (all P<0.05), and lower than those in the control group at all time points (all P<0.05). The difference in positive symptom scores of the PANSS between the two groups at different time points was not statistically significant. The ITAQ scores in the intervention group at the 3-month and 6-month time points after the interven-tion showed a gradual increase (all P<0.05), and higher than those in the con-trol group at all time points (all P<0.05). There was no statistically significant difference in the PANSS scores, SDSS scores and ITAQ scores in the control group at each time point before and after treatment. No significant differences were found between the two groups in the improvement of SDSS, negative scale, general mental improvement, and PANSS at the time point of 6th month after the intervention. Conclusion: The user-family-expert service model can improve negative symptoms, social functioning, and self-awareness for patients with schizophrenia in the community, while performance evaluation can promote the improvement of intervention outcomes. |
