Implementing the Illness Management and Recovery Program in Japan
Implementing the Illness Management and Recovery Program in Japan
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DOI：
10.1176/ps.2010.61.11.1157
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发表时间：
2010-11-01
影响因子：
3.8
通讯作者：
Hirayasu, Yoshio
中科院分区：
文献类型：
--
作者：
Fujita, Emi;Kato, Daiji;Hirayasu, Yoshio
目的：本研究调查日本疾病管理和康复计划的可行性和结果。方法：对35例精神分裂症患者进行问卷调查。参与者被分配(而不是随机)到干预组和等待名单对照组。干预前后测量症状严重程度、功能、自我管理激活水平、生活质量、满意度、社区生活自我效能感、服务满意度。结果：在两年多的时间里，25名患者完成了干预(有些患者是在等待名单之后)。在治疗前的比较中，他们在症状和功能、自我管理的激活度、生活质量、满意度和社区生活的自我效能感方面均有显著改善。与等待名单对照组的10名参与者相比，第一干预组的8名参与者在社会功能、生活满意度和社区生活中的社会关系自我效能感方面表现出更高的生活质量。结论：研究结果表明，该计划对日本患有严重精神疾病的参与者是有效的。(精神科服务61：1157-1161,2010)
Objective: This study investigated the feasibility and outcomes of the illness management and recovery program in Japan. Methods: Thirty-five patients with schizophrenia were recruited. Participants were assigned (not randomly) to the intervention and wait-list comparison groups. Symptom severity, functioning, activation level in self-management, quality of life, satisfaction, self-efficacy in community living, and satisfaction with services were measured before and after the intervention. Results: Over two years 25 patients completed the intervention (some after being wait-listed). In the pre-post comparison, they showed significant improvement in symptoms and functioning, self-reported activation in self-management, quality of life, satisfaction, and self-efficacy in community living. Compared with the ten participants in a wait-list comparison group, the eight participants in the first intervention group showed an increased quality of life in social functioning, satisfaction in living, and self-efficacy for social relationships in community living. Conclusions: Findings suggest that the program is effective for participants with severe mental illness in Japan. (Psychiatric Services 61:1157-1161, 2010)