社区重性精神疾病患者个案管理与基础管理效果的对照研究.pdfVIP

社区重性精神疾病患者个案管理与基础管理效果的对照 研究木 仪修芹，．卜祥峰董 兰孙建强 胥爱萍刘 艳王爱波祝玉英 【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 (P0．01)；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。 【关键词】 重性精神疾病患者社区 个案管理基础管理 【中图分类号】R749 【文献标识码】 A 【文章编号】 1009—7201(201IJ一05—0356—03 Acontrolofthecase andbasic in with community study managementmanagement patientsmajor MentalHealth Xiuqin，BUXiangfeng，DONGLan，eta1．We咖ng Center，We洫ng262400，China To thedifferenceofeffectbetweenca,se andbasic in 【Abstract】Objectiveinvestigate managementmanagement with Atotalof200 of were divided randomly communitypatientsmajorpsychosis．Methodspatientsmajorpsychosis intotwo consistedof100 werefollowedforone wereassessed groups(eachgroup patients)，and up year．Allpatients andself-made scaleoftroublesoraccidents．ResultsNo with riskevaluation signifcant BPRS，SDSS，GQOLI-74 differenceWasfoundatbaselineinscoresofBPRSandSDSSbetweenthetwo were in differencesinscoresofBPRSandSDSSafterone follow oflife case significant year up(P0．01)．Thequality level incase Was betterthanthatinbasic risk ofthe groupsignificantly group．The patients management management decreased withbasic can managementgroup significantly．ConclusionCompared management，casemanagement reducethe