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Iranian Journal of Medical Sciences، جلد ۴۱، شماره ۱، صفحات ۱۹-۰
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عنوان انگلیسی A Comparative Study of Nurses as Case Manager and Telephone Follow-up on Clinical Outcomes of Patients with Severe Mental Illness
چکیده انگلیسی مقاله Background: Providing community-based mental health services is crucial and is an agreed plan between the Iranian Mental Health Office and the Regional Committee for the Eastern Mediterranean (affiliated with WHO). The aim of this study was to determine the effectiveness of home-visit clinical case-management services on the hospitalization rate and other clinical outcomes in patients with severe mental illness. Methods: A total of 182 patients were randomly allocated into three groups, namely, home-visit (n=60), telephone follow-up (n=61) and as-usual care (n=61) groups. Trained nurses as clinical case-managers provided home-visit services and the telephone follow-up tasks. Hospitalization rate as a measure of recurrence, as well as burden, knowledge, general health condition of caregivers with positive/negative symptoms, satisfaction, quality of life, and social skills of the consumers were assessed as the main and secondary outcomes, respectively. Results: Most clinical variables were improved in both intervention groups compared with the control group. During the one year follow-up, the rate of rehospitalization for the telephone follow-up and as-usual groups were respectively 1.5 and 2.5 times higher than the home-visit group. Conclusion: Trained clinical case-managers are capable of providing continuous care services to patients with severe mental illness. The telephone follow-up services could also have beneficiary outcome for the consumers, their caregivers, and the health system network.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله سید کاظم ملکوتی | seyed kazem malakouti
mental health research centre, department of psychiatry, iran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

مرضیه نجومی | marzieh nojomi
department of community medicine, school of medicine, iran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

دکتر آرش میراب زاده | arash mirabzadeh
health research center, department of psychiatry and social determinants, university of social welfare and rehabilitation sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم بهزیستی و توانبخشی (University of social welfare and rehabilitation sciences)

یاسمن متقی پور | yasaman mottaghipour
department of psychiatry, taleghani hospital, shahid beheshti university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

دکتر علیرضا ظهیرالدین | alireza zahiroddin
behavioral science research center, department of psychiatry, shahid beheshti university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

حامد محمدی kangrani | hamed mohammadi kangrani
department of psychiatry, razi hospital, university of social welfare and rehabilitation sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم بهزیستی و توانبخشی (University of social welfare and rehabilitation sciences)

نشانی اینترنتی http://ijms.sums.ac.ir/index.php/IJMS/article/view/363
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