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Community nursing support for clients with schizophrenia
1University of Florida College of Nursing, Health Science Center, Gainesville, FL 32610-0187, USA.
Archives of Psychiatric Nursing
|October 5, 2001
Summary
Telephone nursing intervention improved community survival for individuals with schizophrenia. This pilot study showed reduced rehospitalization rates and shorter hospital stays, suggesting a promising approach for mental health care.
Area of Science:
- Nursing
- Psychiatric Care
- Health Services Research
Background:
- Schizophrenia is associated with high rates of rehospitalization.
- Community survival for individuals with schizophrenia can be challenging.
- The vulnerability model provides a framework for understanding stress and coping in schizophrenia.
Purpose of the Study:
- To pilot test the effectiveness of a telephone nursing intervention.
- To assess the intervention's impact on community survival for persons with schizophrenia.
- To evaluate the intervention's effect on rehospitalization rates and length of stay.
Main Methods:
- A true experimental, posttest-only, control group design was employed.
- Participants with schizophrenia were randomized into an intervention or control group.
- The intervention group received weekly telephone nursing support for 3 months.
Main Results:
- Experimental group: 13% readmission rate vs. 23% in controls.
- Experimental group: 4% increase in community survival.
- Experimental group: 27% reduction in length of hospital stay if readmitted.
Conclusions:
- Telephone nursing intervention shows potential for increasing community survival in persons with schizophrenia.
- The intervention may reduce rehospitalization frequency and duration.
- Further research with larger sample sizes is warranted to confirm these findings.