The effects of individualized whole-course case management on rehabilitation in community schizophrenic patients

Abstract

Objective To study the cognitive and social function changes in schizophrenic patients after individualized whole-course case management in community.Methods Eighty-two patients with schizophrenia meeting the International Classification of Diseases-10 (ICD-10) criteria were enrolled and randomly divided into two groups with 41 patients in each group,and one group was given individualized whole course case management,one with traditional treatment as control. The functional activities questionnaire ( FAQ),activity of daily living scale (ADL) and morning side rehabilitation status scale (MRSS) were used to evaluate the social function.And the Wechsler adult intelligence scale (WAIS-RC) and the clinic memory scale (CMS) was used to assess cognitive function.They were rated once every 6 months from January 2008 to December 2009.Results There were no significant difference on total scores of IQ,MQ,WCST at the baseline and the end of second year between two groups ( P ＞ 0.05 ).The total scores of IQ,MQ,WCST of the patients in the case management group were significant increased at end of the study,while in control group,only the total scores of IQ and WCST numbers of error answering had significantly increased at the end of second year than the baseline.Between two groups the total scores of ADL,FAQ were significant different at the end of second year and the total scores of MRSS were significantly different at the every stage of treatment.Conclusions The individualized whole-course case management could improve social function and a part of cognitive functioning of schizophrenic patients in community. Key words: Residence characteristics; Individuality; Case management; Schizophrenia; Cognition