Improving the quality of life of people with schizophrenia through community based rehabilitation in Yogyakarta Province, Indonesia: A quasi experimental study
Improving the quality of life of people with schizophrenia through community based rehabilitation in Yogyakarta Province, Indonesia: A quasi experimental study
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DOI：
10.1016/j.ajp.2019.03.022
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发表时间：
2019-04-01
影响因子：
9.5
通讯作者：
Nanwani, Sandeep
中科院分区：
文献类型：
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作者：
Puspitosari, Warih Andan;Wardaningsih, Shanti;Nanwani, Sandeep
目的：持续的残疾和低生活质量（QoL）是精神分裂症的影响。建议精神分裂症患者进行社区康复 (CBR)。本研究的目的是分析社区康复对改善精神分裂症患者生活质量的有效性。方法：这是一项准实验研究，于 2017 年 2 月至 12 月在印度尼西亚日惹进行。受试者是 18-56 岁的精神分裂症患者及其照顾者。在 12 周内使用心理教育模块和社交技能模块进行 CBR 干预。它由当地卫生工作者、分区社会福利工作者、社区卫生工作者（在印度尼西亚称为Kader）进行，并由精神科医生监督。使用经验证的测量仪器在基线和第 16 周评估生活质量。使用 Wilcoxon 检验进行假设检验 结果：有 100 名精神分裂症患者参与了该研究。他们被分为干预组和对照组。每组由 50 名受试者组成。两组的基线特征相似。干预组接受CBR，而对照组则没有。干预组有 34 人（68%）的生活质量提高，而对照组有 23 人（46%）的生活质量提高。对照组的一名受试者 (4%) 出现生活质量下降。其他受试者的生活质量保持不变。干预组的生活质量改善高于对照组（p < 0.05）。结论：社区康复对于改善社区精神分裂症患者的生活质量是有效的。社区康复由卫生工作者和街道社会福利工作者进行。
Objective: The persistent disability and low Quality of Life (QoL) are the impacts of schizophrenia. Community-Based Rehabilitation (CBR) is recommended for people with schizophrenia. The objective of this study is to analyze the effectiveness of CBR to improve the quality of life of people with schizophrenia.Methods: It was a quasi-experimental study, conducted in February-December 2017, in Yogyakarta, Indonesia. Subjectwere people with schizophrenia, 18-56 years old, with their caregiver. CBRintervention using psychoeducation module and social skill module during 12 weeks. It was conducted by local health workers, sub district social welfare workers, community health workers (called Kader in Indonesia) and supervised by a psychiatrist. The QoL was assessed using a validated measuring instrument at the baseline and at the week 16. Hypothesis test using Wilcoxon testResults: There were 100 people with schizophrenia involved in the study. They were divided into intervention group and control group. Every group consists of 50 subjects. Both groups had similar characteristics at the baseline. The intervention group received CBR, whereas the control group didn't. Thirty-four people (68%) of intervention group increased their QoL, whereas in the control group there were twenty-three people (46%) increased their QoL. The QoL decrease occurred in one subject (4%) from the control group. Other subjects had constant QoL. Improvement of QoL in the intervention group is higher than the control group (p < 0.05).Conclusions: CBR is effective for improving the QoL of people with schizophrenia in the community. CBR is conducted by the health worker and sub-district social welfare worker.