Development of Network Participation Model for Caring Schizophrenic Patients with Violence Behavior Toward a Comprehensive Proactive Health Care in Community
Keywords:
model development, participation, schizophrenia, violent behavior, community careAbstract
Background: Schizophrenic patients were more increased risk of violence behavior with 2-10 times than the general population. 10% of violence patients were impacted more seriously to themselves, families, society, and community.
Objectives: This study aim to develop and assess community health care networks (CHN) participation model for caring schizophrenic patients with violence behavior toward a comprehensive proactive health care in community.
Method: The sample of this study were 40 schizophrenic patients with violence behavior, 40 caregivers, and 30 CHN personnels. Participatory action research was conducted in 3 phases: 1) initial phase was Research team and community preparation 2) Operation stage included the situation analysis, developed, and evaluated care model and 3) Evaluation stage was follow-up of the research results after 1 and 3 months. The qualitative data were analyzed by content analysis. Quantitative data were analyzed by frequency distribution, percentage, mean, standard deviation. and one-way ANOVA and t-test.
Results: The model for caring schizophrenic patients with violent behavior toward a comprehensive proactive health care in community was developed. The result revealed that social functioning and quality of life of schizophrenic patients and caregivers, caregivers’ burden mean score of experimental group and control group after 1 and 3 months were significantly different at P< 0.05 (F=14.37, 20.42, 28.89 and 13.35 respectively). Community health care networks personnel had a statistically significant in quality of life and happiness scores at P< 0.05 (t test = 2.32 and 4.54, respectively).
Conclusion: This model for caring schizophrenic patients with violent behavior toward a comprehensive proactive health care in community emphasized the participation of all stakeholders. The result created positive development which were supported for patients, families and stakeholder living together with good quality of life.
References
World Health Organization, Fact sheet Schizophrenia [online]. 2022 Jan 10 [cited 2023 Mar 11]; Available from: URL: https://www.who.int/news-room/fact-sheets/detail/schizophrenia
ชิดชนก โอภาสวัฒนา บรรณาธิการ. คู่มือระบบการดูแลผู้ป่วยจิตเวชที่มีความเสี่ยงสูงต่อการก่อความรุนแรงสำหรับสถาบัน/โรงพยาบาล สังกัดกรมสุขภาพจิต. พิมพ์ครั้งที่ ๑. กรุงเทพมหานคร:บริษัท พรอสเพอรัสพลัส จำกัด; 2563.
Kemmis S., & Mc Taggart. The Action Research Planner. 3 rd ed. Victoria: Deakin University. 1988.
Srisurapanont M., Arunpongpaisal S., Chuntaruchikapong S., Silpakit C., Khuangsirikul V., Karnjanathanalers N.et al. Cross-cultural validation and inter-rater reliability of the Personal and Social Performance scale, Thai version. J Med Assoc Thai 2008; 91 (10): 1603-8.
สุวัฒน์ มหัตนิรันดร์กุล, วิระวรรณ ตันติพิวัฒนสกุล, วนิดา พุ่มไพศาลชัย, กรองจิตต์ วงศ์สุวรรณ, ราณี พรมานะจิรังกุล.. เอกสารประกอบการประชุมวิชาการกรมสุขภาพจิต ครั้งที่ 4 เรื่องเปรียบเทียบแบบวัดคุณภาพชีวิตขององค์การอนามัยโลกชุด 100 ตัวชี้วัด และ 26 ตัวชี้วัดระหว่าง, 7-9 กันยายน 2541; ณ กรมสุขภาพจิต กระทรวงสาธารณสุข; 2541.
กรมสุขภาพจิต กระทรวงสาธารณสุข. โครงการจัดทำโปรแกรมสำเร็จรูปในการสำรวจสุขภาพจิตในพื้นที่ ปี พ.ศ. 2545 ดัชนีวัดความสุขคนไทย Thai Happiness Indicator; THI [เข้าถึงเมื่อ 12 มีนาคม 2566]; เข้าถึงได้จาก: https://dmh.go.th/test/download/files/thi15.pdf.
ธนา นิลชัยโกวิทย์ จักรกฤษณ์ สุขยิ่ง และชัชวาลย์ ศิลปะกิจ. ความเชื่อถือได้และความแม่นตรงของ General Health Questionnaire ฉบับภาษาไทย. วารสารสมาคมจิตแพทย์แห่งประเทศไทย 2539 ; 41(1) : 2-17.
นพรัตน์ ไชยชำนิ. ผลของการใช้โปรแกรมการดูแลผู้ดูแลแบบองค์รวมต่อภาระและความสามารถในการดูแลผู้ป่วยจิตเภท. ครั้งที่ 1. กรุงเทพฯ: สํานักพิมพ์แห่งจุฬาลงกรณ์มหาวิทยาลัย. 2544.
Kadakia A., Fan Q., Shepherd J., Dembek C., Bailey H., Walker C. et al. Healthcare resource utilization and quality of life by cognitive impairment in patients with schizophrenia. Schizophrenia Research: Cognition [publish online] 2022; [cited 2023 March 12]; 28, 100233, 1-6. Available from: URL: https://www.sciencedirect.com/science/article/pii/S2215001321000408
Nemoto T., Uchino T., Aikawa S., Matsuo S., Mamiya N., Shibasaki Y.et al. Impact of changes in social anxiety on social functioning and quality of life in outpatients with schizophrenia: A naturalistic longitudinal study. Journal of Psychiatric Research [publish online] 2020 [cited 2023 March 12]; 131, 15-21. Available from: URL: https://www.sciencedirect.com/science/article/pii/S0022395620309183
Bondre A. P., Shrivastava R., Raghuram H., Tugnawat D., Khan A., Gupta S., et al. A qualitative exploration of perceived needs and barriers of individuals with schizophrenia, caregivers and clinicians in using mental health applications in Madhya Pradesh, India. SSM-Mental Health [publish online] 2022[cited 2023 March 12]; 2, 14936, 1-17. Available from: URL: https://www.sciencedirect.com/science/article/pii/S2666560322000032
Canty A.L., Cao Y., Neumann D., Shum D.H.K. The functional significance of cognitive empathy and theory of mind in early and chronic schizophrenia. Psychiatry Research [publish online] 2021[cited 2023 March 12]; 299, 113852, 1-11. Available from: URL: https://www.sciencedirect.com/science/article/pii/S0165178121001499
Ran M.S., Wang Y.A., Lu P.Y., Weng X., Zhang T.M., Deng S.Y.et al. Effectiveness of enhancing contact model on reducing stigma of mental illness among family caregivers of persons with schizophrenia in rural China: A cluster randomized controlled trial. The lancet Reginal Health – Western Pacific [publish online] 2022 [cited 2023 March 12]; 22, 100419. 1-13. Available from: URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8897707/pdf/main.pdf
Li J., Huang Y.J., Ran M.S., Fan Y., Chen W., Lacko S.E.et al. Community-based comprehensive intervention for people with schizophrenia in Guangzhou, China: Effects on clinical symptoms, social functioning, internalized stigma and discrimination. Asian Journal of Psychiatry [publish online] 2018[cited 2023 March 12]; 34, 21-30. Available from: URL: https://www.sciencedirect.com/science/article/pii/S1876201817308882
Li J., Guo Y.B., Huang Y.G., Liu J.W., Chen W., Zhang X.Y.et al. Stigma and discrimination experienced by people with schizophrenia living in the community in Guangzhou, China. Psychiatry Research [publish online] 2017[cited 2023 March 12]; 255, 225-231. Available from: URL: https://www.sciencedirect.com/science/article/pii/S0165178117302147
Kharawala S., Hastedt C., Podhorna J., Shukla H., Kappelhoff B., & Harvey P. D. The relationship between cognition and functioning in schizophrenia: A semi-systematic review. Schizophrenia Research: Cognition Research [publish online] 2022 [cited 2023 March 12]; 27, 100217,2-16. Available from: URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8488595/pdf/main.pdf
Long M., Stansfeld J.K., Davies N., Crellin N.E., Moncrieff J. A systematic review of social functioning outcome measures in schizophrenia with a focus on suitability for intervention research. Schizophrenia Research Pacific [publish online] 2022 [cited 2023 March 12]; 241, 275-291 Available from: URL: https://www.sciencedirect.com/science/article/pii/S0920996422000809?via%3Dihub
Kelly J. F., Fallah-Sohy N., Cristello J., Stout R. L., Jason L. A., & Hoeppner B. B. Recovery community centers: Characteristics of new attendees and longitudinal investigation of the predictors and effects of participation. Journal of Substance Abuse Treatment [publish online] 2021 [cited 2023 March 12]; 124, 108287,1-25. Available from: URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8004554/pdf/nihms-1662444.pdf
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