| Summary: | 碩士 === 慈濟大學 === 護理研究所 === 96 === Little literature has been published about application of case-management in care of patients with
schizophrenia. This study was aimed to investigate the effects of case-management on psychiatric
symptom, social function, care giver burden, regular outpatient clinic follow-up, medication compliance
and re-adimission rate. The study adopted a quasi-experimental design at a teaching hospital in I-Lan
from September, 2007 to March, 2008. Hospitalized patients diagnosed with schizophrenia were
randomly assigned to experimental and control groups with sample of 31 and 30, respectively. Case
management program was given to the experimental group patients for 3 months after they discharged
from hospital. The experimental group patients were given a nursing handbook and at three home visits.
The case manager used the case-management sheet to assess and evaluation the patient care. The outcome
data were collected with three instruments including psychiatric questionnaire, social questionnaire, and
caregiver burden questionnaire. The data were analyzed by using SPSS version 12.0. Result showed no
significant difference in psychiatric symptom (p>.05); but significant differences in social function, care
giver burden, regular outpatient clinic follow-up, drug compliance, and re-adimission, respectively (p<.05)
between experimental and control groups. Conclusion of the study revealed important, that it can serve as
a basis for future policy in nursing care for patients with schizophrenia
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