The effect of a nurse initiated patient/family education strategy on people with schizophrenia in Beijing

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The effect of a nurse initiated patient/family education strategy on people with schizophrenia in Beijing

 

Author: Li, Zheng
Title: The effect of a nurse initiated patient/family education strategy on people with schizophrenia in Beijing
Degree: Ph.D.
Year: 2003
Subject: Hong Kong Polytechnic University -- Dissertations
Schizophrenics -- China -- Beijing -- Family relationships
Patient education -- China -- Beijing
Family psychotherapy -- China -- Beijing
Department: School of Nursing
Pages: 238 leaves ; 30 cm.
InnoPac Record: http://library.polyu.edu.hk/record=b1719348
URI: http://theses.lib.polyu.edu.hk/handle/200/5492
Abstract: In the light of the prevalence of schizophrenia in China, the demonstrated efficacy of patient/family education in western cultures, and the burden of care falling on nurses and the patients' families in Beijing, this study aimed to develop an innovative patient/ family education package and test its effectiveness within a sample of people with schizophrenia and their families. One hundred and four patients and their families participated in the study and were assigned to an experimental group and control group. The patients in the experimental group received approximately 8 hours of education and families received around 36 hours of individual education from nurses in the hospital, followed by 6 hours after discharge. The education content covered knowledge and skills related to schizophrenia and its treatment, derived from the literature and a pilot study of local professionals, families and patients. Measures including the Knowledge About Schizophrenia Inventory (KASI), Brief Psychiatric Rating Scale (BPRS), Global Assessment Scale (GAS), Nurses' Observation Scale for Inpatient Evaluation (NOSIE), relapse rate, medication compliance and family expressed emotion were administered before discharge, then at three and nine months after discharge. It was found that patient/family education had a positive impact. Patient symptoms were alleviated significantly, social function improved significantly and relapse rates were reduced significantly at nine month follow-up. The families' knowledge about schizophrenia and their relative's treatment were improved significantly. Although the patients in the experimental group had better medication compliance, compared with the control group, no significant difference was found. Expressed emotion (EE) (yet to be established as an influential factor in relapse in Chinese families of people with schizophrenia) was measured by means of a brief interview and compared to the Family Attitude Scale (FAS). High EE, was found in similar numbers to overseas studies but was not confirmed as a predictor of relapse of patients in this study. The qualitative findings provided useful data for future examination of cultural issues. This was a pioneer study on the effect of systematic patient/family education on people with schizophrenia and their families, conducted by nurses in China. The findings provide useful evidence and direction for the rapidly developing tertiary-based education system for nurses in China and help supply much needed evidence for the development of culturally sensitive theories and models for guiding nursing practice.

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