基于家庭的干预与精神分裂症患者的标准护理相比
Wai Tong Chien1, Dennis Chak Fai Ma2, Daniel Bressington3
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong.
The Cochrane database of systematic reviews
|October 4, 2024
概括
对精神分裂症的基于家庭的干预措施可能会减少患者的复发和护理人员的负担,但证据质量低至中等. 需要更多的研究才能得出关于患者治疗结果的最终结论,例如药物坚持.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 家庭治疗 家庭治疗
背景情况:
- 精神分裂症经常导致长期残疾和复发,给提供护理的家庭带来重大负担.
- 基于家庭的干预旨在支持精神分裂症患者及其亲属,旨在改善结果.
- 本综述是现有的科克莱恩综述的更新,重点是家庭干预与标准护理相比.
研究的目的:
- 评估针对精神分裂症患者及其家属的基于家庭的干预措施与标准护理的有效性.
- 综合当前关于患者和家庭成员在基于家庭的干预后的结果的证据.
主要方法:
- 进行了多个电子数据库的系统搜索,直到2023年4月.
- 包括随机对照试验 (RCT),比较基于家庭的干预措施与标准护理.
- 使用标准的Cochrane方法进行研究选,数据提取,偏差风险评估和数据合成.
主要成果:
- 低确定性证据表明,家庭干预措施可能会在干预后一个月内减少患者复发.
- 中等确定性证据表明,干预后,护理人员负担可能会减少.
- 低确定性证据表明,家庭成员表达的情绪可能有所改善,患者死亡或入院的情况没有显著差异.
结论:
- 家庭干预对患者的复发率和家庭的负担和表达的情绪显示出潜在的好处.
- 关于患者服药遵守和生活质量的证据仍然非常不确定,因为存在偏差和不一致的高风险.
- 需要高质量的,大规模的RCT来确认家庭干预在精神分裂症护理中的有效性.
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