The Impact of Psychiatric Rehabilitation Services on Quality Of Life and Hope in Individuals Diagnosed with Schizophrenia
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https://doi.org/10.5281/zenodo.8405271Keywords:
CMHC, Hope, Rehabilitation Services, Schizophrenia, Quality of LifeAbstract
Objective: This research was conducted to determine the impact of psychiatric rehabilitation services on the quality of life (QoL) and hope in individuals diagnosed with schizophrenia.
Methods: The research was conducted in a case-control design in a semi-structured manner. The sample size was determined as a minimum of 64 individuals in each group (case and control) based on power analysis with a power of 0.80 (effect size = 0.50, α = 0.05). Data were collected in June-July 2023 through face-to-face interviews with patients using the Demographic Information Form, Social Performance, Quality of Life, and Hope scales. The data obtained from the research were analyzed using the SPSS for Windows 26.0 (Statistical Package for Social Sciences for Windows) program, and skewness and kurtosis values were examined for homogeneity and normality testing between groups. Statistical evaluations included counts, percentages, means, independent samples t-test, and One-Way ANOVA test.
Results: In the case group, the average age of patients was 45.06±11.21 years, the average duration of illness was 17.5±8.61 years, the average duration of participation in Community Mental Health Center (CMHC) was 3.81±3.39 years, 54.7% were female, 71.9% were single, 34.4% had completed primary school, 39.1% lived with their parents, 45.3% were not employed, and 76.6% had low income and expenses. It was determined that 75.0% of the patients came to CMHC at least twice a week. It was found that individuals attending CMHC every day and those considering alternative ways had higher levels of hope, and patients with a university degree had a better level of hope (p<0.05). When the case and control groups were compared, it was determined that the case group, which attended CMHC and participated in rehabilitation services, had higher hope level scale scores, lower personal performance scale scores, and higher scores in the physical functioning, emotional role functioning, general health, and mental health subdomains of quality of life compared to the control group that did not attend CMHC and did not participate in rehabilitation services, and the difference was statistically significant (p<0.05).
Conclusion: In our study, we believe that the provision of community-based mental health services contributes to the preservation of the quality of life and the subjective well-being parameter of hope in individuals under follow-up in these centers.
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