낮병원 치료가 조현병 환자의 치료충실도에 미치는 영향에 관한 전향적 연구
Prospective Study to Determine the Efficacy of Day Hospital Care to Improve Treatment Adherence for Hospitalized Schizophrenic Patients
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Objectives The purpose of the study is to investigate the effects of day hospital care in hospitalizedschizophrenic patients in terms of treatment adherence and treatment outcomes. Methods Among schizophrenic patients hospitalized between 2011 and 2012, 23 day hospitalcare patients and 40 control subjects were included in the study. All candidates underwent BeckCognitive Insight Scale, Drug Attitude Inventory, WHO Quality of Life scale, and PsychologicalWell-Being Scale when their symptoms were stabilized during hospitalization, and after beingdischarged, 23 patients received day hospital care for two months and then changed to out-patientcare while 40 patients received out-patient care immediately after discharge. At the point oftwo months of out-patient care, the treatment adherence of the two groups was evaluated ; trackingobservation was performed until February, 2013, and survival rates were compared betweenthe two groups. Results Treatment adherence was higher in the day hospital care group than in the controlgroup. Kaplan-Meier survival analysis showed a higher survival rate for the day hospital caregroup compared to the control group. Levels of cognitive insight and quality of life were higher afterday hospital care than before day hospital care in the day hospital care group. Conclusion Through the study, it was confirmed that when hospitalized schizophrenic patientsreceive continuous day hospital care after being discharged, they receive further out patient caremore faithfully. The study is considered to aid in the understanding regarding schizophrenic patients’treatment adherence issues and improvement of treatment outcomes.
Abstract
Objectives The purpose of the study is to investigate the effects of day hospital care in hospitalizedschizophrenic patients in terms of treatment adherence and treatment outcomes. Methods Among schizophrenic patients hospitalized between 2011 and 2012, 23 day hospitalcare patients and 40 control subjects were included in the study. All candidates underwent BeckCognitive Insight Scale, Drug Attitude Inventory, WHO Quality of Life scale, and PsychologicalWell-Being Scale when their symptoms were stabilized during hospitalization, and after beingdischarged, 23 patients received day hospital care for two months and then changed to out-patientcare while 40 patients received out-patient care immediately after discharge. At the point oftwo months of out-patient care, the treatment adherence of the two groups was evaluated ; trackingobservation was performed until February, 2013, and survival rates were compared betweenthe two groups. Results Treatment adherence was higher in the day hospital care group than in the controlgroup. Kaplan-Meier survival analysis showed a higher survival rate for the day hospital caregroup compared to the control group. Levels of cognitive insight and quality of life were higher afterday hospital care than before day hospital care in the day hospital care group. Conclusion Through the study, it was confirmed that when hospitalized schizophrenic patientsreceive continuous day hospital care after being discharged, they receive further out patient caremore faithfully. The study is considered to aid in the understanding regarding schizophrenic patients’treatment adherence issues and improvement of treatment outcomes.
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