Effects of shared decision-making oriented vocational training on the social function of patients with schizophrenia
10.11886/scjsws20240808001
- VernacularTitle:共享决策导向的职业培训对精神分裂症患者社会功能的影响
- Author:
Chunyan JIANG
1
;
Jiuhong SHUAI
1
;
Hongyuan DENG
1
;
Junhua ZHENG
1
;
Chunfeng GOU
1
;
Xiaoli YANG
1
;
Deying TONG
1
;
Hao FENG
1
;
Xia HUANG
2
;
Ru GAO
2
Author Information
1. The Third People's Hospital of Wenjiang District， Chengdu， Chengdu 611130， China
2. Chengdu Wenjiang District People's Hospital， Chengdu 611130， China
- Publication Type:Journal Article
- Keywords:
Schizophrenia;
Inpatients;
Shared decision-making;
Vocational training;
Social function
- From:
Sichuan Mental Health
2025;38(3):229-234
- CountryChina
- Language:Chinese
-
Abstract:
BackgroundAs a high prevalence disorder， schizophrenia has caused significant burden to family and society due to the impairment of occupational and social function. Currently， the dominant vocational training model in China follows a paternalistic， clinician-led decision-making approach. Although it improves patients' social function to some extent， it undermines their autonomy and treatment adherence. Therefore， it is urgently necessary to explore a new intervention method to enhance treatment compliance and social function in patients. ObjectiveTo explore the impact of shared decision-making oriented vocational training on social function in hospitalized schizophrenia patients， so as to provide references for rehabilitation interventions. MethodsA total of 68 patients diagnosed with schizophrenia according to the International Classification of Diseases， tenth edition （ICD-10） criteria were consecutively enrolled from January to June 2024 at The Third People's Hospital of Wenjiang Distric， Chengdu. Participants were randomly allocated into the research group （n=34） and the control group （n=34） using a random number table method. Both groups received routine rehabilitation training， while the research group received shared decision-making oriented vocational training for 12 weeks， 2 times a week for 2 hours each time. Before and at the 4th and 12th week of intervention， two groups were evaluated by General Self-Efficacy Scale （GSES）， Stigma Scale for Mental Illness （SSMI）， Scale of Social function of Psychosis Inpatients （SSFPI） and Inpatient Psychiatric Rehabilitation Outcome Scale （IPROS）. ResultsA total of 63 participants completed the study， with 30 cases in the research group and 33 cases in the control group. Repeated measures ANOVA revealed statistically significant time effects and interaction effects in both groups for GSES， SSMI， SSFPI and IPROS scores （F=20.451， 16.022； 26.193， 12.944； 23.957， 5.023； 11.776， 3.985， P<0.05 or 0.01）， while no significant group effects were observed （F=0.188， 0.742， 1.878， 0.474， P>0.05）. At the 12th week of intervention， there were statistically significant differences in GSES， SSMI， SSFPI and IPROS scores between the two groups. ConclusionShared decision-making oriented vocational training may help to improve social function in patients with schizophrenia. ［Funded by 2023 Chengdu Medical Research Project （number， 2023468）］
