电子健康档案对社区严重精神障碍患者管理效果探讨.pdfVIP

精神医学杂志2016 年第 29 卷第 1 期 Joumal of Psychiat町，2016 ， Vol 29 ,No. 1 电子健康档案对社区严重精神障碍患者 管理效果探讨 董兰张功法 [摘要] 目的 探讨电子健康档案对社区严重精神障碍患者管理效果。方法 抽取4∞例社区严重精神障碍患者，于 建立电子健康档案前后采用阳性和阴性综合征量表(PANSS) 、 Morning Side 康复状态量表(MRS町、患者及家属满意度调 查问卷进行评定。结果 建档后患者电子档案利用率较建档前升高(P0.05) ， 建档后第 1 ， 2 年未 PANSS、 MRSS 总分 及各因子分均较各自建档前降低(P0.05) ， 建档前后患者及家属满意状况比较有显著性差异(P0.05) 。结论 电子 健康档案对社区严重精神障碍患者管理效果明显。 [关键词] 严重精神障碍电子健康档案社区管理 满意度 [中固分类号]R749 [文献标识码] A [文章编号] 2095 -9346(2016) -01 -∞39 -04 doi: 10. 3969/j. issn. 2095 - 9346.2016.01.012 Eftects of electronic h ea1th records ωmanage patients with severe mental disorders in community. DONG Lan , ZHANG Gongfa. We协昭Mental Health Center , Weifang 262400 , China [ Abstract] 0时ective To explore the effects of electronic health records to man郁闷ients with serious mental disorders in community. Methods A total of 4∞ patients with severe mental disorder百 were selected and established with electronic health records for two years. They were assessed wi由 Positive and Negative Syndrome Scale (PANSS) , Momingside Rehabilitation Status Scale ( MRSS )皿d 由e Self-designed Patients and Family Satisfaction Questionnaire before and after establishment. Results ηle utilization ratio of 由e electronic health records after establishment was significantly higher than 由at before establishment ( P 0.05). The total score and all factor scores of PANSS and MRSS at the 1 叭， 2nd year end after establishment were all significantly lower than those before establishment( P 0.05) .币lere were significant differences for the satisfaction levels of 由e patients and farnily between before and after establishment (P 0.05). Conclusion It s effective f，刨出e electronic health records to manage patients wi出 serious mental disorder百 in community. [ Key words] Severe mental disorders Electronic health records Commun