The Effect of Case Management : Hospital and Community-Based Model in Schizophrenic patients

Abstract

Objective: To examine the effect of case management, hospital and community-based model on psychiatric symptoms, self care and eadmission ate of schizophrenia patients in psychiatric ward, Surin Hospital.
Setting: inpatient Psychiatric Ward, Surin Hospital Study
design: Quasi-experimental research
Patient and Methods: The population and subjects of the study. Thirty patients who were diagnosed schizophrenia, demonstrated complicated problems and needed to care by multidisciplinary team. Fifteen studies were control group with hospital-based case management service model and fifteen studies were experimental group with hospital and community-based case management service model. The study was conducted during October 1, 2012 to August 30, 2013. Descriptive statistics and repeated measure ANOVA were used for data analysis.
Results: The study result showed that, the experimental group did not relapse within 6 month after being discharged but 11 patients in the control group relapsed within lto5 month. Four patients did not relapse within 6 month after being discharged. In addition the assessment tool for self care behavior of schizophrenia patients, there was significant difference between experimental groups and control groups, at the .01((F=170.20, p=0.00)
Conclusion: The hospital and community-based case management service model can reduce the rate of re-admission for schizophrenic patients than hospital-based case management service model because of its continuous care in the community. The patients and relative were satisfied with the intervention program.