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Learning Objective 1: The learner will be able to evaluate the effectiveness of Family-Centered Care (FCC) in bipolar disorder after one year.
Learning Objective 2: The learner will be able to the cost effects of readmission were counted for one-year.
Bipolar disorder is one of the most severe chronic psychiatric diseases and is a highly recurrent and debilitating disease. It has been estimated that the total annual societal cost of bipolar disorder may be as high as $45 billion. Higher readmission rate compared with patients with other psychiatric.
Purpose:
The purpose of this study was to evaluate the effectiveness of Family-Centered Care (FCC) in bipolar disorder after one year. The cost effects of readmission were counted for one-year.
Methods:
Thirty-six pairs of patients and caregivers were recruited in a medical center in the Northern Taiwan from April 2010 to April to Jun 2011. We randomly assigned sixteen pairs in the experimental group and twenty pairs in the control group. Experimental group received four times 60-90 minutes in-depth interview for patients and families as whole that including providing the communication skill enhancement, problem-solving skills, and emotional self-regulation to avoid the family conflict. After one year, data were collected from the electronic medical records, including the total frequency of patient readmitted and visited emergency department and length of stay. Statistical analysis was performed by McNemear tests.
Results:
The demographic variables of patients and their caregivers were not statistically significant between the experiment group and control group. The results showed that FCC could improve the global family function and showed significantly improved in communication between patient and family. The effect of patient readmission and frequency of emergency department visiting and length of stay after one year evaluation on bipolar disorder.
Conclusion: Based on the results, it provide the evidence that nurse-led FCC model in psychiatric setting could reduce the medical expenditure.