个案管理对社区女性精神分裂症患者康复的影响.docVIP

个案管理对社区女性精神分裂症患者康复的影响 　　[摘要] 目的 探讨个案管理对社区女性精神分裂症患者生活质量及社会功能的影响。 方法 将40例在社区治疗的女性精神分裂症患者随机抽签法分为个案管理组（20例）和对照组（20例），在服用抗精神病药物治疗的同时， 对个案管理组予以综合干预，观察时间为1年。应用生活质量量表（WHO，QOL-100）和社会功能缺陷筛选量表（SDSS）进行评估。 结果 6个月、1年末随访时个案管理组阴性症状总分明显优于对照组；且个案管理组在生活质量、独立性领域及社会关系领域的改善显著好于对照组；SDSS中家庭职能、责任心和计划评分值差异较为明显。 结论 对社区精神分裂症患者开展个案管理综合干预措施，有利于提高女性患者生活质量。 　　[关键词] 个案管理；精神分裂症；社区；女性 　　[中图分类号] R749.3 [文献标识码] A [文章编号] 2095-0616（2013）15-13-03 　　Influence of case management on community rehabilitation of female patients with schizophrenia 　　YAO Fengju WANG Zhimin QIN Zhihua 　　Department of Psychiatry， Second Affiliated Hospital of Xinxiang Medical College， Xinxiang 453002， China 　　[Abstract] Objective To investigate the influence of case management on the life quality and social function of community female patients with schizophrenia. Methods Forty female patients with schizophrenia treated in the community were divided into the case management group （20 patients） and the control group （20 patients） according to the random drawing method. The case management group received comprehensive intervention while taking antipsychotic medicine. The observation duration was 1 year. The quality of life scale （WHO， QOL-100） and social disability screening scale （SDSS） were used for evaluation. Results At the 6-month and 1-year follow-up， the case management group was significantly better than the control group in the total negative symptom score. And the case management group was significantly better than the control group in the impirovement of life quality， independence and social relationship. In terms of SDSS， the differences in family function， responsibility and plan scores were significant. Conclusion The implementation of case management comprehensive intervention measures among the community female patients with schizophrenia is conducive for improving their life quality. 　　[Key words] Case management； Schizophrenia； Community； Female 　　精神分裂症无论在发病年龄、疾病的临床表现、治疗及预后等方面均存在着明显的性别差异，且病程迁延，有慢性化倾向和衰退的可