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社会工作介入重性精神病个案管理的效果研究

黄永梅 梁润娣 柯咏坚 苏秀兰 谭素瑶 徐遇安 王小液 欧阳彩群

中国全科医学2016,Vol.19Issue(16):1876-1878,3.
中国全科医学2016,Vol.19Issue(16):1876-1878,3.DOI:10.3969/j.issn.1007-9572.2016.16.005

社会工作介入重性精神病个案管理的效果研究

Effect of Case Management Intervened With Social Work in Severe Psychiatric

黄永梅 1梁润娣 1柯咏坚 1苏秀兰 1谭素瑶 1徐遇安 2王小液 2欧阳彩群3

作者信息

  • 1. 528311广东省佛山市顺德区北滘社区卫生服务中心
  • 2. 佛山市顺德区勒流太和社会工作服务中心
  • 3. 南方医科大学公共卫生与热带医学学院营养与食品卫生学系
  • 折叠

摘要

Abstract

Objective To explore the effect of case management intervened with social work in severe psychiatric during community rehabilitation. Methods From May 2013 to December 2014,we enrolled 18 patients with severe psychiatric who were diagnosed in psychiatry department of Wu Zhong Pei Hospital, Shunde District, Foshan City. Through the implementation of case management and social work division,the patients were treated with eighteen -month case regulatory treatment. The social workers' manner of working was different with doctors' manner of working. They focused on helping psychological and social rehabilitation of patients with mental illness,while focusing on drug treatment,combined with drug therapy. Using personal and social performance scale( PSP),social support revalued scale( SSRS),social disability screening schedule(SDSS),we evaluated the personal and social relationships,social support and social function before entry into the group and 9 ,18 months in the group. Results The scores of PSP and SSRS in 18 patients were higher and the scores of SDSS were lower after case management intervened with social work(P﹤0. 05). Before entry into the group and 9,18 months in the group,the patients were significantly different in scores of PSP,SSRS and SDSS(P﹤0. 05). 18 months in group and 9 months in group,the patients were not significantly different in scores of PSP,SSRS and SDSS(P﹥0. 05). Conclusion After the case management intervened with social work,the capability defect of patients is improved obviously. The social support is further improved and the social function is improved gradually. The effect is obvious on case management intervened with social work in severe psychiatric case.

关键词

精神病/个案管理/社会工作

Key words

Psychotic disorders/Case management/Social work

分类

医药卫生

引用本文复制引用

黄永梅,梁润娣,柯咏坚,苏秀兰,谭素瑶,徐遇安,王小液,欧阳彩群..社会工作介入重性精神病个案管理的效果研究[J].中国全科医学,2016,19(16):1876-1878,3.

基金项目

广东省佛山市医学类科技攻关项目 ()

中国全科医学

OA北大核心CSTPCD

1007-9572

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