The influence of mental rehabilitation combined with family intervention on self -efficacy and quality of life of patients with schizophrenia / 中国基层医药

ABSTRACT

Objective To observe the influence of mental rehabilitation combined with family intervention on self -efficacy and quality of life of patients with schizophrenia.Methods 92 cases of schizophrenia patients were choosed to be the research object.They were divided into control group (46 cases)and observation group (46 cases) according to random number table method.The control group was given mental rehabilitation while the observation group was given the mental rehabilitation combined with family intervention treatment.The clinical efficacy of the two groups of patients was observed after six months.The patient's self -efficacy was assessed by using self -efficacy scale (GSES),and the patient's quality of life was assessed by using the quality of life scale (QLQ).Results Six months after treatment,the score of PANSS in patients with positive symptoms[(14.19 ±4.16)points],negative symptoms [(16.29 ±4.92)points],mental symptoms[(35.56 ±6.75)points]and total score[(65.84 ±15.83)points]in the observation group were lower,which were better than those of the control group[(17.37 ±5.27)points,(21.11 ± 5.64)points,(42.37 ±7.92)points and (80.85 ±18.83)points],and the differences were statistically significant(t =3.212,4.368,4.438,4.544,all P <0.05).The total effective rate was 86.96% in the observation group,which was significantly higher than 67.39% in the control group,the difference was statistically significant(χ2 =4.998,P =0.025).The self -efficacy scores of the two groups were higher than before the treatment,which of the observation group[(3.51 ±0.62)points]was better than that of control group[(2.13 ±0.48)points],the difference had statistical significance(t =5.593,P =0.000).After treatment,the patient's quality of life score such as emotional function [(59.82 ±11.38)points],cognitive function[(69.43 ±12.32)points],role function[(69.77 ±12.31 )points], physical function[(75.38 ±14.01 )points],social function[(66.28 ±13.03)points]and so on were higher than before treatment[(56.88 ±10.36)points,(42.01 ±9.29)points,(47.02 ±9.17)points,(60.34 ±10.89)points, (53.92 ±10.76)points].Results of the observation group were better than those of the control group[(53.07 ± 10.13)points,(63.02 ±11.17)points,(62.03 ±11.17)points,(67.33 ±11.74)points,(60.87 ±12.62)points], the differences had statistical significance(t =3.005,2.664,3.158,2.987,2.023,all P <0.05).Conclusion Therapy of mental rehabilitation combined with family intervention can improve the clinical curative effect of schizophrenia patients, and improve the patient's self -efficacy and quality of life.It is worthy of clinical popularization and application.