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首页> 外文期刊>The journal of clinical psychiatry >Psychoeducation in schizophrenia: 7-year follow-up concerning rehospitalization and days in hospital in the Munich Psychosis Information Project Study.
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Psychoeducation in schizophrenia: 7-year follow-up concerning rehospitalization and days in hospital in the Munich Psychosis Information Project Study.

机译：精神分裂症的心理教育：慕尼黑精神病信息项目研究中有关住院治疗和住院天数的7年随访。

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OBJECTIVE: According to most of the relevant guidelines, psychoeducation is considered a basic part of routine therapy for patients with schizophrenia; scientific proofs of its efficacy are based mainly on the results of 1- and 2-year follow-ups. Therefore, the long-term effects of psychoeducation over a period of 7 years were investigated in regard to rehospitalization rates and hospital days. METHOD: Of 101 patients with DSM-III-R or ICD-9 schizophrenia randomly allocated to either an intervention group or a control group between 1990 and 1994, 48 patients were available for follow-up after 7 years. During their index stay, the 24 patients of the intervention group and their key relatives each received a separate psychoeducational group therapy. The 24 patients of the control group received the usual treatment. After index discharge, all 48 patients received a comparable outpatient treatment. Main outcome measures were rehospitalization rate, number of intervening hospital days, compliance, and mean number of consumed chlorpromazine (CPZ) units. RESULTS: Seven years after index discharge, the rate of rehospitalization was 54% in the intervention group and 88% in the control group. The rate of rehospitalization per patient was 1.5 in the intervention group and 2.9 in the control group (p < .05). In the intervening period, the mean number of hospital days spent in a psychiatric hospital was 75 in the intervention group and 225 days in the control group. (p < .05). The mean number of consumed CPZ units after 7 years was 354 in the intervention and 267 in the control group. CONCLUSIONS: Seven years after psychoeducational group therapy, significant effects on the long-term course of the illness can be found. Therefore, the integration of psychoeducation into standard therapy for schizophrenia should become obligatory.
机译：目的：根据大多数相关指南，精神教育被认为是精神分裂症患者常规治疗的基本组成部分。其功效的科学证据主要基于1年和2年随访的结果。因此，就再入院率和住院天数研究了7年期心理教育的长期影响。方法：1990年至1994年之间将101例DSM-III-R或ICD-9精神分裂症患者随机分配至干预组或对照组，其中48例患者在7年后可以随访。在他们的索引停留期间，干预组的24名患者及其主要亲属均接受了单独的心理教育组治疗。对照组24例接受常规治疗。指标出院后，所有48例患者均接受了类似的门诊治疗。主要结局指标为重新住院率，住院天数，依从性和氯丙嗪（CPZ）单位平均消费量。结果：指标出院7年后，干预组的再住院率为54％，对照组为88％。干预组每名患者的再住院率为1.5，对照组为2.9（p <.05）。在此期间，干预组在精神病医院平均住院天数为75天，对照组为225天。 （p <.05）。干预后7年CPZ平均消耗单位数为354，对照组为267。结论：心理教育小组治疗七年后，可以发现对疾病的长期病程有重大影响。因此，必须将心理教育纳入精神分裂症的标准治疗。

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