Does rehabilitation meet the needs of care and improve the quality of life of patients with schizophrenia or other chronic mental disorders?

被引:15
作者
van Busschbach, J [1 ]
Wiersma, D [1 ]
机构
[1] Univ Groningen Hosp, WHO Collaborating Ctr Training & Res Mental Hlth, Dept Psychiat, NL-9700 RB Groningen, Netherlands
关键词
rehabilitation; needs; satisfaction; prospective study; quality of life; schizophrenia;
D O I
10.1023/A:1013960031687
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The effectiveness of a rehabilitation intervention (Boston University Model) was investigated in a one-year prospective naturalistic study among 35 clients with mainly psychotic or affective disorders and dependent on mental health care with at least one hospital admission in the past five years. Rehabilitation was successful in goal-attainment after 1 year (46% fully, 34% partly). Although rehabilitation did not make clients less dependent upon care, it decreased the number of needs and had a positive effect on the match between care needed and care provided. No evidence was found for a significant effect of rehabilitation clients' quality of life and functioning, although social functioning became more in line with the seriousness of psychiatric impairment.
引用
收藏
页码:61 / 70
页数:10
相关论文
共 22 条
[1]  
[Anonymous], 1987, DIAGNOSTIC STAT MANU, V4th
[2]  
Anthony W.A., 1993, PSYCHOSOC REHABIL J, V16, P11, DOI [10.1037/h0095655, DOI 10.1037/H0095655]
[3]   A CLIENT OUTCOME PLANNING-MODEL FOR ASSESSING PSYCHIATRIC REHABILITATION INTERVENTIONS [J].
ANTHONY, WA ;
FARKAS, M .
SCHIZOPHRENIA BULLETIN, 1982, 8 (01) :13-38
[4]   PSYCHOLOGICAL REHABILITATION - CONCEPT IN NEED OF A METHOD [J].
ANTHONY, WA .
AMERICAN PSYCHOLOGIST, 1977, 32 (08) :658-662
[5]  
Atkinson M, 1997, AM J PSYCHIAT, V154, P99
[6]   Choosing and using outcome measures [J].
Blankertz, L ;
Cook, JA .
PSYCHIATRIC REHABILITATION JOURNAL, 1998, 22 (02) :167-174
[7]   Intensity and continuity of services and functional outcomes in the rehabilitation of persons with schizophrenia [J].
Brekke, JS ;
Ansel, M ;
Long, J ;
Slade, E ;
Weinstein, M .
PSYCHIATRIC SERVICES, 1999, 50 (02) :248-256
[8]   EuroQol: The current state of play [J].
Brooks, R .
HEALTH POLICY, 1996, 37 (01) :53-72
[9]  
Cohen LG, 1997, NEUROLOGY, V48, P30005
[10]   Modeling valuations for EuroQol health states [J].
Dolan, P .
MEDICAL CARE, 1997, 35 (11) :1095-1108