精神分裂症缓解期患者“医院-社区-家庭”三位一体化管理模式运行效果评价

董云

【摘要】目的 探讨“医院-社区-家庭”三位一体化管理模式对精神分裂症缓解期患者的应用效果。方法 选取2017年01月～2019年06月间我院收治后处于缓解期的48例精神分裂症患者，随机分为对照组和观察组各24例。对照组实施定期电话随访管理模式，观察组实施“医院-社区-家庭”三位一体化管理模式。对比两组干预6个月后的管理效果。结果 干预前，两组社会功能缺陷筛选（SDSS）、行为障碍（NOSIE）、生存质量（SQLS）及日常生活能力（ADL）评分比较均无明显差异（P>0.05）;干预后，对照组SQLS总分、SDSS、NOSIE及ADL评分与干预前对比无明显变化（P>0.05），观察组SQLS总分明显低于本组干预前及对照組干预后的水平，观察组SDSS、NOSIE及ADL评分明显高于本组干预前及对照组干预后水平，差异有统计学意义（P<0.05）。结论 “医院-社区- 家庭”三位一体化管理模式运用于精神分裂症缓解期患者，患者生活自理能力、生活质量、行为障碍和社会功能均得到明显提升和改善，预后管理效果明显。

【关键词】精神分裂症;缓解期;医院;社区;家庭;一体化;康复

【中图分类号】R749.3 【文献标识码】A 【文章编号】ISSN.2095.6681.2020.11..03

Evaluation of the operation effect of the "hospital-community-family" three-in-one management model in patients with

schizophrenia in remission

DONG  Yun

（Department of Psychiatry，Psychiatric Hospital of Guanyun County，Lianyungang，|

Jiangsu Lianyungang 222200，China）

【Abstract】Objective To explore the effect of the"hospital-community-family"three-in-one management model on patients with schizophrenia in remission.Methods Forty-eight patients with schizophrenia who were in remission after admission in our hospital from January 2017 to June 2019 were randomly divided into a control group and an observation group，each with 24 cases.The control group implemented a regular telephone follow-up management model，and the observation group implemented a"hospital-community-family"three-in-one management model.The management effect of the two groups after 6 months of intervention was compared.Results Before the intervention，there was no significant difference in the scores of Social Function Defect Screening（SDSS），Behavior Disorder（NOSIE），Quality of Life（SQLS），and Ability of Daily Living（ADL）between the two groups（P>0.05）.Scores，SDSS，NOSIE，and ADL scores were not significantly different from those before intervention（P>0.05）.The total SQLS scores in the observation group were significantly lower than those before and after the intervention in the control group.SDSS，NOSIE，and ADL scores in the observation group were significant.The difference was higher than the levels before and after the intervention in this group，and the difference was statistically significant（P<0.05）.Conclusion The"hospital-community-family"three-in-one management model is applied to patients with schizophrenia in remission，patients'self-care ability，quality of life，behavioral disorders and social functions have been significantly improved and improved，and the prognostic management effect is obvious.

【Key words】Schizophrenia;Remission;Hospital;Community;Family;Integration;Rehabilitation

精神分裂症作为一种严重的精神类疾病，其临床表现错综复杂，除意识障碍、智能障碍不常见外，可出现思维障碍、感知觉障碍、情感障碍、意志与行为障碍等多种精神症状，给患者和家庭带来了巨大的痛苦。该病具有易反复、顽固性等特点，通常需终生用药，给生活带来了极大不便[1]。2018年版《严重精神障碍管理治疗工作规范》对严重精神病患者经治疗处于缓解期回归社区后的管理有明确的工作规划，要求基层多部门工作人员要横向联系联合做好精神卫生工作，加强严重精神障碍患者缓解期管理和延伸医疗服务，促进其尽快康复，早日回归社会[2-3]。我院作为……