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《Shanghai Archives of Psychiatry》 1999-02
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Needs assessment of chronic schizophrenic patients in community.

Song Lisheng, Chen Meijuan, Li Wenjie, et al. Shanghai Mental Health Center, Shanghai 201108  
Objective: To evaluate the needs of chronic schizophrenic patients in community and analyse the related factors. Method: One hundred and twenty subjects with a CCMD-2-R diagnosis of schizophrenia were recruited from a community and devided into mild, moderate and severe groups according to total scores of SDSS. The instruments included Camberwell Assessment of Need (CAN), Quality of Life Scale (QOLS) and Positive and Negative Syndrome Scale (PANSS). Results: There were significant differences among three groups in family care, daily life, relief of psychiatric symptoms, knowledge about the disease and treatment, social contact and help (P 0.005). Patients with moderate and severe disability obtained more help from their families than from society (P 0.05). Total CAN scores were significantly corelated to tatal QOLS scores in mild and moderate groups (P0.05). Multiple stepwise regression analysis showed that all factors in CAN were predominantly influenced by the severity of psychiatric symptoms, duration of illness, work status and caregivers' identity. Conclusion: Patients with different severity of illness had different needs, mainly needs for daily life in family, treatment and social needs. They obtained more help from their families than from society. Factors influencing the needs were multiple.
【CateGory Index】: R749.3
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