摘要
目的 探究个案管理模式对慢性精神分裂症患者的生活质量及社会功能的影响,并为该病的临床治疗积累经验.方法 选取广东省惠州市第二人民医院于2012年4月～2013年2月收治的86例慢性精神分裂症患者,利用随机数字表法进行分组,分别设为研究组和对照组,每组各43例.两组均给予抗精神病药物治疗及常规护理,而研究组则在此基础上开展个案远期随访管理.记录两组患者在入院当天、干预后第6个月末的生活质量及社会功能情况,并进行比较.结果 经干预,研究组生活质量评分[生理功能：（57.91±8.36）分,心理功能：（68.93±11.27）分,社会功能：（48.36±7.19）分,环境领域：（66.28±7.97）分]高于对照组[生理功能：（40.12±6.11）分,心理功能：（62.10±10.16）分,社会功能：（37.12±6.37）分,环境领域：（53.38±7.02）分],差异均有统计学意义（均P＜0.05）.研究组社会功能缺陷评分[家庭内活动：（0.89±0.31）分,家庭职能：（0.57±0.29）分,自力能力：（0.96±0.02）分,兴趣和关心：（0.89±0.37）分,责任和计划：（0.88±0.36）分]低于对照组[家庭内活动：（1.11±0.32）分,家庭职能：（1.33±0.35）分,自力能力：（1.22±0.13）分,兴趣和关心：（1.28±0.29）分,责任和计划：（1.63±0.33）分],差异均有统计学意义（均P＜ 0.05）.结论 个案管理可以提高慢性精神分裂症患者的生活质量及社会功能,临床效益较佳,值得进一步推广.
Objective To study the effect of case management intervention to the life quality and social function of chronic schizophrenic patients,and gather experience for the clinical treatment of this disease.Methods 86 chronic schizophrenic patients who were admitted in the Second People＇s Hospital of Huizhou City from April 2012 to Februaryd 2013 were divided randomly by number into the researching group and control group,each group had 43 cases.The two groups were both given the antipsychotic drug treatment and general nursing,and the researching group was given the case management of long term follow-up additionally.The life quality and social function on the day of admission and after six months＇intervention in the two groups were recorded and compared.Results The life quality in the researching group [physiological function：（57.91±8.36） scores,psychological function：（68.93±11.27） scores,social function：（48.36±7.19） scores,the environment：（66.28±7.97） scores] were all significantly higher than those in the control group [physiological function：（40.12±6.11） scores,psychological function：（62.10±10.16） scores,social function：（37.12±6.37） scores,the environment：（53.38±7.02） scores] （all P ＜ 0.05）.The defect score of social function in the researching group [activities in the family：（0.89±0.31） scores,family functions：（0.57±0.29） scores,self-reliance ability：（0.96±0.02） scores,interest and concern：（0.89±0.37） scores,responsibility and plan：（0.88±0.36） scores] were all significantly lower than those in the control group [activities in the family：（1.11±0.32） scores,family functions：（1.33±0.35） scores,self-reliance ability：（1.22±0.13） scores,interest and concern：（1.28±0.29） scores,responsibility and plan：（1.63±0.33） scores] with significant difference （all P ＜ 0.05）.Conclusion Case management can improve the life quality and social function of chronic schizophrenic patients,its clinical effect is good and should be expanded in clinic.
出处
《中国医药导报》
CAS
2013年第33期132-134,共3页
China Medical Herald
基金
广东省惠州市科技计划项目(编号2013Y071)
