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《Chinese Journal of General Practitioners》 2003-03
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A study on rehabilitative effect of health education in patients with bipolar affective disorder in communities

U Xian-zuo,NI Yuan-wei,LI Xiu-qin,WANG Shao-chun,CHEN Yong-sheng,GAO Kui-zhong. Zibo Mental Hospital,Zibo,Shandong 255120,China  
objective To explore rehabilitative effect of health education in patients with bipolar affective disorder in communities.Methods One hundred and two patients with bipolar affective disorder in communities were divided randomly into study and control groups.Both of the two groups of patients received maintenance dose of drug therapy,as well as intervention with health education for the patients themselves and their relatives for two years in the study group.Rehabilitation effect were assessed with Beck-Rafaelsen Manic Rating Scale (BRMS),Hamilton Depression Rating Scale (HAMD) and Global Assessment function (GAF).Therapeutic compliance,rate of recurrence,rate of malignant event occurrence,and understanding of the illness by patients' relatives were also evaluated.Results Scores of BRMS,HAMD and GAF in the study group declined obviously after intervention for two years,as compared with those in the control group (P0.05 or P 0.001 ).Rates of recurrence,re-hospitalization and malignant event occurrence were significantly lower in the study group than those in the control group (33.3%,20.8% and 14.6%,respectively,P 0.01) Therapeutic compliance and awareness of illness by patients' relatives were better in the study group than those in the control group (P 0.01 or P 0.001).Conclusions Health education played an important role in control of the state in patients with bipolar affective disorder,relief of their symptoms,improvement of their therapeutic compliance and coping ability of their relatives,lowering rates of recurrence and re-hospitalization,and promoting improvement of social function.
【CateGory Index】: R749.4
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