四川精神卫生Issue(4)：377-379,3.DOI:10.11886/j.issn.1007-3256.2015.04.027
个案管理模式在广泛性焦虑障碍患者中的应用
Application of case management in patients with generalized anxiety disorder
摘要
Abstract
Objective To investigate the case management model of the quality of life in patients with Generalized Anxiety Dis-order(GAD)and the influence of clinical outcome. Methods 120 hospitalized GAD patients which from the Mental Health Center of Sichuan Province and met the diagnose of CCMD - 3 were divided into the case management group and the control group. Two groups adopted original anti - anxiety drugs and routine therapy,the case management group also received case management. Before 1,2,4, 8,12,24 and 48 weeks of the intervention,Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Clinical Global Impression(CGI)and Index of Well - being were assessed. Results Two groups taking compliance,recurrence rate,satisfaction com-parison difference was statistical significant(P < 0. 05). Two groups of HAMA and HAMD,CGI scores after treatment were lower than the baseline period,the difference was statistically significant(P < 0. 01). During the period of treatment and follow - up,case man-agement group of HAMA and HAMD,CGI and general well - being score were lower than those of control group,the difference was statistically significant(P < 0. 05). Conclusion For GAD in drug treatment and general psychological support therapy on the basis of the implementation of case management service after 48 weeks of anxiety and depression symptoms in patients with more obvious,medi-cation adherence is better,lower recurrence rate and better quality of life,satisfaction of patients to treatment.关键词
个案管理/广泛性焦虑障碍/生活质量/临床结局Key words
Case management/Generalized anxiety disorder/The quality of life/Clinical outcome引用本文复制引用
杨文君,杨昆,黄国平..个案管理模式在广泛性焦虑障碍患者中的应用[J].四川精神卫生,2015,(4):377-379,3.基金项目
西部精神医学协会公益科研项目 （）
