OBJECTIVES: The purpose of the study is to investigate the effects of day hospital care in hospitalized schizophrenic patients in terms of treatment adherence and treatment outcomes. METHODS: Among schizophrenic patients hospitalized between 2011 and 2012, 23 day hospital care patients and 40 control subjects were included in the study. All candidates underwent Beck Cognitive Insight Scale, Drug Attitude Inventory, WHO Quality of Life scale, and Psychological Well-Being Scale when their symptoms were stabilized during hospitalization, and after being discharged, 23 patients received day hospital care for two months and then changed to out-patient care while 40 patients received out-patient care immediately after discharge. At the point of two months of out-patient care, the treatment adherence of the two groups was evaluated ; tracking observation was performed until February, 2013, and survival rates were compared between the two groups. RESULTS: Treatment adherence was higher in the day hospital care group than in the control group. Kaplan-Meier survival analysis showed a higher survival rate for the day hospital care group compared to the control group. Levels of cognitive insight and quality of life were higher after day hospital care than before day hospital care in the day hospital care group. CONCLUSION: Through the study, it was confirmed that when hospitalized schizophrenic patients receive continuous day hospital care after being discharged, they receive further out patient care more faithfully. The study is considered to aid in the understanding regarding schizophrenic patients' treatment adherence issues and improvement of treatment outcomes.
Hospitalization ; Humans ; Outpatients ; Patient Care ; Prospective Studies* ; Quality of Life ; Schizophrenia ; Survival Rate ; Track and Field ; Treatment Outcome

OBJECTIVE: To determine the effectiveness of electrical stimulation over the trunk in improving trunk control during early stroke rehabilitation. METHOD: Thirty-two acute and subacute hemiparetic stroke patients were enrolled in this study. All patients were randomly assigned to one of two groups, control group or electrical stimulation (ES) group. Both groups received the same physical therapy for 3 weeks. ES group received additional electrical stimulation over the posterior back muscles for 30 minutes a day, 5 days per week for 3 weeks. Outcome measurements included Korean version of Berg balance scale (K-BBS), total score of postural assessment scale for stroke patients (PASS), trunk control subscale of postural assessment scale for stroke patients (PASS-TC), trunk control test (TCT), Korean version of modified Barthel index (K-MBI), and motricity index (MI). These measurements were checked before and after treatment. RESULTS: There were no significant differences in the baseline characteristics and initial values between two groups. Following 3 weeks therapy, the changes of TCT and PASS-TC scores in the ES group were significantly higher than those of the control group (p <0.05). The changes of K-BBS, PASS, and K-MBI scores in the ES group tend to be higher than those in the control group. However the differences were not statistically significant. The changes of PASS-TC and TCT scores were significantly correlated with the changes of BBS and K-MBI scores at discharge. CONCLUSION: This study suggests that electrical stimulation over the trunk may be a beneficial therapeutic technique in improving trunk control in acute and subacute hemiparetic stroke patients.
Control Groups ; Electric Stimulation ; Hemiplegia ; Humans ; Muscles ; Stroke