The purpose of this paper is to provide a reference for the application of telemedicine in HBPC in China. Therefore, this paper examines the application of telemedicine in HBPC in China and abroad. While telemedicine has been studied to some extent overseas in HBPC patients, it is still in its infancy in China. The application of telemedicine has broken through the limitations of traditional medical care models and has provided HBPC patients and their caregivers with high-quality, continuous medical, and nursing care at home. The aim of this paper is to understand the current caregiving burden of primary caregivers of schizophrenia patients in remission and its influencing factors, in order to provide a scientific basis for targeted interventions. Reference has shown that due to the long-term care of patients with schizophrenia, the physical and psychological health of caregivers is not optimistic, and their quality of life is seriously reduced, making them a vulnerable group for mental illness. ![]() Patients with schizophrenia basically must return to long-term family life after clinical treatment, with family members assuming the main caregiving role. 2010 data from the Chinese Center for Disease Control and Prevention showed that more than 7.8 million people have schizophrenia in China, with a relapse rate of 81.4%, and the incidence is increasing year by year due to a variety of factors. Schizophrenia is a heavy chronic mental illness with cognitive, affective, and volitional behavioral disorders, mostly in young adults, with high relapse and disability rates and prolonged illness. A multidisciplinary team trained in hospice care provides physical, psychological, social, and humanistic care to patients. Many hospice patients who receive hospice care choose home-based palliative care (HBPC) over active treatment in hospitals. Globally, approximately 40 million end-of-life patients require hospice care each year, but only 14% of those dying have access to hospice care. With an aging population and a changing disease spectrum, the incidence of cancer and chronic diseases and the mortality they cause are increasing every year. Hospice care is the integration of physical, psychological, social, and humanistic care for individuals of all ages who are suffering from severe health-related distress due to serious illness, especially at the end of life, thereby improving the quality of life of patients, families, and caregivers. The government, mental health centers, and families should understand the level of caregiving burden of patients with schizophrenia in remission and the factors influencing it and provide targeted measures to reduce the caregiving burden. The results of multiple linear regression analysis showed that caregiver age, caregiver education, caregiver family care, patient medical costs, and patient social functioning were factors influencing the burden of care for patients with schizophrenia in remission ( P < 0.05). ![]() Caregivers' family care and patients' social functioning were generally poor. Among them, 66, 72, and 25 cases (32.8%, 35.9%, and 12.4%) had mild, moderate, and severe burdens, respectively. The Zarit Burden Scale, Family Care Scale, and Social Functioning Scale were used to conduct one-to-one interviews with 201 schizophrenic patients in remission and their primary caregivers in Hubei Province. This paper reviews the concept of telemedicine, the application of telemedicine in home hospice care, and the remaining problems and improvement strategies of telemedicine in home hospice care, with the aim of providing a reference for the application of telemedicine in home hospice care in China. The aim of this paper is to understand the current situation of the care burden of patients with mental illness in remission and the factors affecting it in order to provide a scientific basis for targeted interventions.
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