Effect of family-centered nursing on family function and family burden of patients with schizophrenia
10.3760/cma.j.issn.1674-2907.2013.25.006
- VernacularTitle:以家庭为中心的护理干预对精神分裂症患者家庭功能和疾病负担的影响
- Author:
Jian-Jian WANG
1
;
Li-Ping ZHAO
;
Qiong-Ni CHEN
;
De-Zhen PENG
;
Li-Juan SHENG
Author Information
1. 中南大学湘雅二医院精神科
- Keywords:
Schizophrenia;
Family centered care;
Nursing intervention;
Family function;
Family burden
- From:
Chinese Journal of Modern Nursing
2013;19(25):3046-3049
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of family-centered nursing on family function and family burden of schizophrenic patients.Methods A total of 108 schizophrenic patients with the whole course less than 5 years were randomly divided into study group(n =53)and control group(n =55).The two groups received the routine antipsychotic drugs maintenance therapy and the general psychological education.In addition,the study group received the family-centered nursing intervention,and the total following-up course was 1 year.To evaluate the family situation and psychotic symptoms of patients,all the participants were assessed by using Family Assessment Device (FAD),Family Burden Scale of Disease (FBS) and Brief Psychiatric Rating Scale (BPRS) at entry and 1 year after discharged.Results There was no statistically significant difference between the two groups in scores of BPRS,FAD and FBS at baseline (P ＞ 0.05).After 1 year,the scores of BPRS (24.60 ± 7.87),total function of FAD (26.8 ± 3.7) and FBS (20.60 ± 9.91) in the study group were lower than those in the control group:BPRS (28.91 ± 8.72),FAD (30.1 ± 3.4) and FBS (30.76 ± 12.27),and the difference was statistically significant (t =2.61,4.67,4.57,respectively; P ＜0.05).The scores of each factor of FAD and four domains of FBS (such as family economic burden,family daily activities,familyent ertainment and mental health of family member) of the study group were lower than those of the control group (P ＜ 0.05).Conclusions The family-centered nursing model is helpful to improve family function,the prognosis of the disease and to decrease family burden of schizophrenia.
