1. Long-term impact of community psychiatric care on quality of life amongst people living with schizophrenia : a systematic reviewJožica Černe Kolarič, Anja Plemenitaš Ilješ, Darja Kraner, Vida Gönc, Mateja Lorber, Nataša Mlinar Reljić, Zvonka Fekonja, Sergej Kmetec, 2024, review article Abstract: The review examines the long-term impact of community psychiatric care on improving the quality of life of people with schizophrenia. It addresses the global burden of this disorder and the need for effective community-based care strategies. A systematic literature search was conducted in databases such as CINAHL, Medline, Web of Science, Sage and ScienceDirect, with the search lasting until March 2024 and following the PRISMA guidelines. The inclusion criteria targeted studies that addressed the long-term effects of community mental health care for people aged 18 years and older with schizophrenia and included both quantitative and qualitative research designs. Studies unrelated to the research question or with significant methodological flaws were excluded. The risk of bias was assessed using GRADE and GRADECERqual, in addition to critical appraisal using the Joanna Briggs Institute (JBI) checklists. Independent screening and data extraction was performed, with results summarised by thematic analysis. In total, 11 studies met the inclusion criteria and included cross-sectional, cohort, qualitative and randomised controlled trial designs. The results showed that community psychiatric care significantly improves the quality of life, well-being and social integration of people with schizophrenia. Effective interventions identified include psychoeducation, cognitive behavioural therapy, social skills training and individualised care plans. However, challenges such as limited resources, labour shortages and social stigma, particularly in low-income neighbourhoods, were also identified. This study highlights the importance of continuous, personalised, multidisciplinary community-based care for sustainable mental health outcomes. Further research is recommended to investigate the long-term impact and strategies to overcome implementation challenges.
Keywords: schizophrenia, quality of life, community, psychiatric care, patient, systematic review
Published in DKUM: 22.11.2024; Views: 0; Downloads: 14
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2. Skupnostna psihiatrična obravnava pri pacientih s shizofrenijoDarja Kraner, 2024, master's thesis Abstract: Skupnostna psihiatrična obravnava (SPO) nudi oskrbo pacientov s hudimi duševnimi motnjami v skupnosti na njihovem domu. Shizofrenija pomembno vpliva na funkcioniranje in kakovost življenja pacientov. Psihiatrična obravnava v skupnosti je pomembna pri integraciji pacientov s shizofrenijo v družino in družbo. Namen magistrskega dela je raziskati in predstaviti pomen SPO pri pacientih s shizofrenijo. V zaključnem delu smo uporabili sistematičen pregled na osnovi pregleda, analize ter sinteze znanstvene literature. Pri izvedbi sistematičnega pregleda smo upoštevali PRISMA smernice ter članke ocenili z ocenjevalnim orodjem Joanna Briggs Institutes. Sintezo pridobljenih podatkov smo naredili s pomočjo tematske analize podatkov. Identificirali smo 524 zadetkov, v končno analizo smo vključili 10 člankov. Na podlagi tematske analize smo identificirali 4 sekundarne teme: (1) Pozitivni učinki SPO na paciente s shizofrenijo; (2) Pristop do pacienta s shizofrenijo; (3) Nacionalna politika na področju duševnega zdravja; (4) Delovanje SPO. Iz analize vključenih člankov je razvidno, da ima psihiatrična obravnava v skupnosti prednosti za paciente s shizofrenijo, saj pacientu pomaga pri razvijanju veščin in spretnosti za čim bolj samostojno življenje v skupnosti. SPO prispeva k boljši kakovosti življenja in večjemu zadovoljstvu pacientov. Spremljanje pacientov s shizofrenijo v skupnosti izboljšuje stopnjo jemanja zdravil ter vpliva na izboljšanje kliničnih simptomov pri pacientu, s tem pa se zmanjšujejo hospitalizacije.
Keywords: psihiatrična obravnava, skupnost, pacient, shizofrenija
Published in DKUM: 04.07.2024; Views: 108; Downloads: 60
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