The Characteristics of Self-care Ability and Self-care support for Successful Community Living among Schizophrenic Patients Readmitted within 3 months of Discharge, or with Continued Hospitalization of more than 3 months in M-CBCM.

The purpose of this study was to describe the characteristics of self-care ability & self-care support among 29 schizophrenic patients who received M-CBCM. These patients were either readmitted within three months of their previous discharge or their hospitalization continued more than three months. This study got the permission from Research Ethical Committee of Kumamoto University in 2009. Twenty nine patients were provided M-CBCM, but finally, they were divided into two groups. C-group (N=17) was able to live in the community for more than three months after discharge. But D-group (N=12) was either readmitted within 3 months of discharge. In C-group, significant improvements were recognized regarding self-care ability. Self-care ability and self-care support were analyzed qualitatively. In C-group, patients could make use of family support and they could learn from their experience. But in D-group, they had poor symptom & medication management, they were lack of insight to themselves. and they had poor impulsive control. Nurses provided individualized care for expected outcome in C-group, but there was unclear treatment goal in D-group, For patients successful community living, nurses needed to set the goal and to spend time with patients for improvement of self-care ability which was needed in the community