通过专门医院和社区整合,在上海实施针对早期精神分裂症的修改版NAVIGATE计划:一项比较研究
Lihua Wang1, Huijie Lu1, Yihua Jiang2
1Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, China.
The International journal of social psychiatry
|March 31, 2025
概括
恢复计划是针对早期精神分裂症的修改后的NAVIGATE干预措施,在上海显著改善了精神病症状和社会功能. 与传统护理相比,这种综合护理模式显示出更好的治疗坚持性和更低的复发率.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 恢复计划是一个修改后的NAVIGATE干预措施,在上海明杭区实施,用于早期精神分裂症治疗.
- 该计划将专业医院护理与社区服务相结合,形成多学科团队,提供全面的患者支持.
研究的目的:
- 与早期精神分裂症的传统护理相比,评估恢复计划的有效性.
- 评估对精神病症状,社会功能和治疗坚持的影响.
主要方法:
- 纳入了128名患有精神分裂症的参与者 (15-40岁,病期≤5年).
- 明居民接受了康复计划;其他人接受了传统的护理.
- 评估包括症状严重程度 (PANSS,CGI),社会功能 (PSP),坚持和12个月的复发率.
主要成果:
- 恢复计划组在精神病症状和社会功能方面表现出更大的改善.
- 显著较低的错过精神病诊所的比例 (3.2%与49.2%相比),抗精神病药物停用 (7.9%与36.9%) 和复发 (4.8%与26.2%相比) 被观察到.
结论:
- 综合康复计划有效改善了上海早期精神分裂症患者的临床结果.
- 该模型显示出在中国各地广泛实施的潜力,因为它在改善患者护理和减少复发方面取得了成功.
相关概念视频
Specialized Care Centers and Settings-I
902
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
902
Specialized Care Centers and Settings-II
682
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
682
Community Based Intervention
27
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
27
