摘要
目的探讨社区对重性精神疾病患者实施个案管理与基础管理的效果差异。方法每组各100例患者进行为期1年的观察,采用BPRS、SDSS、GQOLI-74、自编肇事肇祸危险评估量表分别进行评分比较。结果入组前,两组BPRS、SDSS评分差异均无显著性意义(P>0.05),1年后两组BPRS、SDSS评分差异有显著性意义(P<0.01);生活质量个案管理组优于基础管理组;经个案管理的患者危险程度明显降低。结论个案管理组较基础管理组精神症状明显改善,危险性行为发生率显著降低,社会功能明显好转,减轻了社会和家庭的经济负担,提高了患者的生活质量。
Objective To investigate the difference of effect between case management and basic management in community patients with major psychosis. Methods Atotal of 200 patients of major psychosis were randomly divided into two groups （each group consisted of 100 patients） , and were followed up for one year. All patients were assessed with BPRS, SDSS, GQOLI-74 and self-made risk evaluation scale of troubles or accidents. Results No significant difference was found at baseline in scores of BPRS and SDSS between the two groups （P 〉 0.05 ） , however, there were significant differences in scores of BPRS and SDSS after one year follow up （ P 〈 0.01 ）. The quality of life in case management group was significantly better than that in basic management group. The risk level of the patients in case management group decreased significantly. Conclusion Compared with basic management, case management can reduce the psychiatric symptoms and dangerous behaviors, improve the social function of patients with major psychosis. Case management can relieve family economic burden and improve the quality of life of those patients.
出处
《精神医学杂志》
2011年第5期356-358,共3页
Journal of Psychiatry
基金
山东省潍坊市卫生局立项课题(编号:2011-074)
关键词
重性精神疾病患者
社区
个案管理
基础管理
Patients of major psychosis Commutity Case management Basic management
