Applying DMAIC to study the improvement of therapeutics for schizophrenia patients

2016 
This study is intended to be schizophrenia patients in chroinc ward of one southern military hospital. We had based on problem-solving and improvement steps to investigate personal and social function and improve quality of sleep in schizophrenia patients before and after rehabilitation treatment in according with DMAIC. DMAIC is a systematic approach to problem-solving steps and quality improvement, which D represents definitions (Define), M on behalf of measure (Measure), A representative of analysis (Analyze), I on behalf improve (Improve), C representing the control (Control). In this study, first psychiatric professionals completed their PSP in order to identify the severity of psychiatric symptoms in patients. Secondly, we proposed patients in treatment self-administered approach to PSQI to measure and analyze the quality of sleep. In this paper, the subjects respectively accomplished above two assessment scales after they were included in the study and fourth, eight weeks later. Finally, according to problem-solving and improvement steps of DMAIC, we further proposed improvement and solutions of treatment process in chronic psychiatric ward to achieve personal and social function and sleep quality in schizophrenia after series of rehabilitation therapy. Our study found that sleep quality of most schizophrenia in chronic ward is poor, and often occurs in daytime dysfunction. We should increase gradually the amount of schizophrenia inpatient's physical activity (physical fitness activities, recreation therapy, etc.), and suggest that these patients still need continuous medication and other psychiatric rehabilitation therapy to maintain personal and social function and improve the quality of sleep (Fig. 1).
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