Effect of Phased Rehabilitation Care based on the 4R Model in Patients with Schizophrenia

Li Meng; Cao Hongyan; Qiu Jianli

doi:10.3969/j.issn.1006-7256.2024.16.006

Abstract：Objective:To explore the effect of phased rehabilitation care based on 4R model(cognition,emotion,behavior,relationship)on coping style,personality traits and family burden of patients with schizophrenia.Methods:120 patients with schizophrenia who were hos-pitalized in the psychiatric department from January 1,2019 to December 31,2020 were selected.The patients were divided into the obser-vation group and the control group by random number table method,with 60 cases in each group.The patients in the control group received routine nursing care,while the phased rehabilitation care based on 4R model was implemented in the observation group for 12 months.The coping style(WCQ),personality traits(BFI)and family burden(FBS)were compared between the two groups before and after intervention.Results:After intervention,the scores of positive coping style in WCQ were higher than those before intervention(P<0.05),and the scores of negative coping style were lower than those before intervention(P<0.05),and those in the observation group were better than the control group(P<0.01).The scores of BFI in all dimensions of the two groups were better after intervention than those before intervention(P<0.05),and the scores of the observation group were better than those of the control group(P<0.01).After intervention,the FBS scores of all dimensions in the two groups were lower than those before intervention(P<0.05),and those in the observation group were lower than the control group(P<0.01).Conclusion:The 4R model-based phased rehabilitation care can effectively improve the coping style and per-sonality traits of patients with schizophrenia,reduce family burden,and promote the recovery of social function of patients.