Effects of rehabilitation education guided by the information-motivation-behavior model on schizophrenia / 中国基层医药

ABSTRACT

Objective:To investigate the effects of rehabilitation education guided by the information-motivation-behavior (IBM) model on knowledge, attitude and practice in patients with schizophrenia.Methods:The clinical data of 109 patients with schizophrenia who received treatment in Taizhou Second People's Hospital from January 2020 to June 2021 were retrospectively analyzed. These patients were divided into study group ( n = 59) and control group ( n = 50) according to different intervention methods. The control group was treated with routine health education, and the study group was treated with IBM model-induced knowledge, attitude and practice intervention. After 3 months of intervention, the Positive and Negative Syndrome Scale, the Morisky self-reported Adherence Questionnaire score, Attentional Control Scale, Family Adaptation, Partnership, Growth, Affection, Resolve Scale, and the Personal and Social Performance Scale scores were compared between the two groups. Results:After intervention, positive symptom score, negative symptom score, and total Positive and Negative Syndrome Scale score in the study group were (10.15 ± 2.20) points, (11.49 ± 2.38) points, and (64.22 ± 9.40) points, respectively, which were significantly lower than (13.68 ± 2.71) points, (14.72 ± 2.45) points, (72.57 ± 9.58) points in the control group ( t = 7.50, 6.96, 4.58, all P < 0.001). After intervention, the Morisky self-reported Adherence Questionnaire score in the study group was significantly lower than that in the control group [(1.09 ± 0.27) points vs. (1.45 ± 0.39) points, t = 5.66, P < 0.001]. Attentional Control Scale, Family Adaptation, Partnership, Growth, Affection, Resolve Scale and the Personal and Social Performance Scale scores in the study group were (62.20 ± 7.31) points, (11.26 ± 2.24) points and (52.02 ± 5.50) points, respectively, which were significantly higher than (54.75 ± 6.68) points, (9.80 ± 2.13) points, (48.78 ± 5.31) points in the control group ( t = 5.51, 3.46, 3.11, all P < 0.05). Conclusion:Information-motivation-behavior model-guided knowledge, attitude and practice intervention can remarkably improve the mental state of patients with schizophrenia, improve attention control and medication adherence, and thereby improve their family function and social function.