Effect of team collaboration management program on the metabolic syndrome in schizophrenic patients

Abstract

Objective To investigate the effect of Team collaboration management program on the metabolic syndrome in schizophrenic patients. Methods From March 2017 to March 2018, the schizophrenic patients with metabolic syndrome who were admitted in Shanghai Mental Health Center Affiliated to Shanghai Jiao Tong University School of Medicine were selected as the participants of this study and divided into observation group (n=45) and control group (n=47) according to the time of admission. The two groups were both given routine treatment and nursing care in psychiatric department. Besides of that, the team collaboration management program was implemented in the observation group. Assessments were done before intervention and 16 weeks after intervention using related metabolic parameters, the Brief Scale of World Health Organization Quality of Life (WHOQOL-BREF) and the Positive and Negative Symptoms Scale (PANSS) . Results There was no significant difference in metabolic parameters, WHOQOL-BREF and PANSS scores between the two groups before intervention (P>0.05) . After 16 weeks of intervention, patients' fasting blood sugar level, body weight, waist circumference, triglyceride, high density lipoprotein and systolic pressure in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05) . The scores of physical health and psychological function in WHOQOL-BREF in the observation group were higher than those in the control group, meanwhile, the scores of positive and general pathological symptoms in PANSS in the observation group were lower than those in the control group, both with statistical significance (P<0.05) . Conclusions Team collaboration management program can help controlling the related metabolic parameters of the schizophrenic patients with metabolic syndrome effectively, improve their quality of life and promote recovery from their mental symptoms. Key words: Schizophrenia; Metabolic syndrome; Team collaboration management program; Metabolic parameters; Quality of life