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Objective@#To study the influence of community mental rehabilitation based on Deming Cycle(PDCA) management model on the quality of life of patients with chronic schizophrenia.@*Methods@#From January 2016 to June 2017, 100 patients with chronic schizophrenia who agreed to community management in Wuxi were randomly divided into study group(n=50) and control group(n=50). Both two groups received traditional community mental health services, meanwhile, the study group was provided with community mental rehabilitation based on PDCA model.All the patients were followed up for 1 year.The quality of life scales(SQLS), social disability screening schedule(SDSS) and family care index(APGAR) were assessed before and after one-year intervention.@*Results@#At the end of one year after intervention, the scores of total quality of life, psychosocial dimension, motive and energy dimension, symptom and side effects in the observation group were (41.27±10.54)points, (38.37±10.84)points, (35.43±7.46)points, (20.71±7.34)points, respectively, which were lower than those in the control group[(51.98±7.43)points, (48.73±8.72)points, (47.67±6.98)points, (29.79±8.64)points] and before intervention[(54.37±5.87)points, (49.78±4.73)points, (48.57±6.87)points, (33.17±10.42)points](t=5.87, 5.27, 8.47, 5.66, 7.68, 6.82, 9.16, 6.91, all P<0.05). At the end of one year after intervention, the social function score[(6.78±2.84)points] of the observation group was significantly lower than that of the control group[(8.83±2.73)points]and before intervention[(8.97±2.18)points](t=3.68, 4.33, all P<0.05), and the family social care index score[(8.75±2.04)points]was significantly higher than that of the control group[(7.04±2.36)points] and before intervention[(6.76±2.14)points](t=-3.88, -4.76, all P<0.05). There was a positive correlation between SDSS score and SQLS score(r=0.41, P<0.05). There was a negative correlation between SQLS score and SDSS score(r=-0.35, P<0.05).@*Conclusion@#The community mental rehabilitation strategy based on PDCA model can improve the social function and family social care, effectively improve the quality of life of schizophrenic patients, while positively promote the rehabilitation of patients.
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Objective To study the influence of community mental rehabilitation based on Deming Cycle (PDCA) management model on the quality of life of patients with chronic schizophrenia .Methods From January 2016 to June 2017,100 patients with chronic schizophrenia who agreed to community management in Wuxi were randomly divided into study group(n＝50) and control group(n＝50).Both two groups received traditional community mental health services ,meanwhile,the study group was provided with community mental rehabilitation based on PDCA model.All the patients were followed up for 1 year.The quality of life scales(SQLS),social disability screening schedule (SDSS) and family care index(APGAR) were assessed before and after one -year intervention.Results At the end of one year after intervention ,the scores of total quality of life ,psychosocial dimension ,motive and energy dimension , symptom and side effects in the observation group were (41.27 ±10.54) points,(38.37 ±10.84) points,(35.43 ± 7.46) points,(20.71 ±7.34) points,respectively, which were lower than those in the control group [(51.98 ± 7.43)points,(48.73 ±8.72)points,(47.67 ±6.98)points,(29.79 ±8.64)points] and before intervention [(54.37 ± 5.87)points,(49.78 ±4.73)points,(48.57 ±6.87)points,(33.17 ±10.42) points]( t＝5.87,5.27,8.47,5.66, 7.68,6.82,9.16,6.91,all P＜0.05).At the end of one year after intervention ,the social function score [(6.78 ± 2.84)points] of the observation group was significantly lower than that of the control group [(8.83 ±2.73) points] and before intervention[(8.97 ±2.18)points](t＝3.68,4.33,all P＜0.05),and the family social care index score [(8.75 ±2.04) points] was significantly higher than that of the control group [(7.04 ±2.36) points] and before intervention[(6.76 ±2.14)points] ( t＝-3.88,-4.76,all P＜0.05).There was a positive correlation between SDSS score and SQLS score (r＝0.41,P＜0.05).There was a negative correlation between SQLS score and SDSS score(r＝-0.35,P＜0.05).Conclusion The community mental rehabilitation strategy based on PDCA model can improve the social function and family social care ,effectively improve the quality of life of schizophrenic patients , while positively promote the rehabilitation of patients.
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Objective To understand the prevalence of attention deficit and hyperactivity disorder (ADHD) in children in China and provide scientific basis for early prevention and treatment of ADHD in children.Methods A systematic literature retrieval was conducted by using CNKI,Wanfang data,CBM and VIP databases for the information about the prevalence of ADHD in children in China published from 1979 to 2017.Pubmed database was used to retrieve the literatures about ADHD prevalence in children in China published from 1946 to 2017.The quality of literature was evaluated based on the cross-sectional study criteria according to STROBE statement.Stata 12.0 was used for combined prevalence and subgroup analyses,including gender,regions,publication year,diagnostic criteria,sampling methods,and so on.Egger testing and the evaluation of funnel graph were used to evaluate the publication bias of these literatures,and sensitivity analysis was done by using different models and eliminating the influence of any one of these articles on combined effect value.Results Twenty articles were included.The total sample size was 88 755,including 46 216 boys and 42 539 girls.The prevalence of ADHD in children in China was 5.6％ (95％CI:5.0％-6.3％).The prevalence was 7.7％ (95％CI:6.7％-8.8％) in boys and 3.4％ (95％CI:3.0％-3.8％) in girls,the difference was statistically significant (P＜0.05).No statistically significance difference in the ADHD prevalence was observed between different regions publication years,diagnostic criteria and sampling methods.Conclusions The prevalence of ADHD in children in China was high,and boys tended to have a higher prevalence compared with girls.Appropriate screening methods for early detection and intervention conduction of ADHD should be taken among children in China.
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Objective To understand the prevalence of attention deficit and hyperactivity disorder (ADHD) in children in China and provide scientific basis for early prevention and treatment of ADHD in children.Methods A systematic literature retrieval was conducted by using CNKI,Wanfang data,CBM and VIP databases for the information about the prevalence of ADHD in children in China published from 1979 to 2017.Pubmed database was used to retrieve the literatures about ADHD prevalence in children in China published from 1946 to 2017.The quality of literature was evaluated based on the cross-sectional study criteria according to STROBE statement.Stata 12.0 was used for combined prevalence and subgroup analyses,including gender,regions,publication year,diagnostic criteria,sampling methods,and so on.Egger testing and the evaluation of funnel graph were used to evaluate the publication bias of these literatures,and sensitivity analysis was done by using different models and eliminating the influence of any one of these articles on combined effect value.Results Twenty articles were included.The total sample size was 88 755,including 46 216 boys and 42 539 girls.The prevalence of ADHD in children in China was 5.6％ (95％CI:5.0％-6.3％).The prevalence was 7.7％ (95％CI:6.7％-8.8％) in boys and 3.4％ (95％CI:3.0％-3.8％) in girls,the difference was statistically significant (P＜0.05).No statistically significance difference in the ADHD prevalence was observed between different regions publication years,diagnostic criteria and sampling methods.Conclusions The prevalence of ADHD in children in China was high,and boys tended to have a higher prevalence compared with girls.Appropriate screening methods for early detection and intervention conduction of ADHD should be taken among children in China.