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优势视角下的个案管理模式对社区精神分裂症患者康复的影响

陆怡 褚庆文 宋凤 张展星 张伟波 蔡军

中国健康心理学杂志2017,Vol.25Issue(7):993-997,5.
中国健康心理学杂志2017,Vol.25Issue(7):993-997,5.DOI:10.13342/j.cnki.cjhp.2017.07.009

优势视角下的个案管理模式对社区精神分裂症患者康复的影响

Effect of Case Management Model on Strengths Perspective on Rehabilitation of Schizophrenia in Community

陆怡 1褚庆文 1宋凤 1张展星 1张伟波 2蔡军2

作者信息

  • 1. 中国.上海市宝山区精神卫生中心 201900
  • 2. 上海交通大学医学院附属精神卫生中心
  • 折叠

摘要

Abstract

Objective:To explore the effect of case management model on the rehabilitation of schizophrenia in community.Methods:One hundred and sixty community schizophrenia were randomly divided into control group(80 cases)and study group(80 cases).The patients in the study group were intervened by case management model on strengths perspective.Patients in the control group received routine follow-up service.Using social support revalued scale,self-esteem scale,the Schizophrenia Quality of Life Scale,Insight and Treatment Attitude Questionnaire,the Personal and Social Performance Scale,Positive and Negative Syndrome Scale for clinical evaluation.Results:Setting baseline and intervention after six months as the observation point,the results showed that there was no significant clinic performance difference between the two groups in the baseline.After intervention,the scores of ITAQ and social support in the study group were significantly higher than those of the control group(t =3.228,2.451;P <0.05).The score of symptom scale was significantly lower in the study group than in the control group (t =-3.528,P <0.05).Conclusion:Case management on strengths perspective can improve the patient's insight and treatment attitude,enhance their social support system,then improve the patient's mental symptoms.This model is benefit for the rehabilitation of schizophrenia in community.Prolonging the observation time may have more effects.

关键词

个案管理优势模式/精神分裂症/社区康复/自尊量表/个人与社会功能量表

Key words

Case management model on strengths perspective/Schizophrenia/Community rehabilitation/Self-esteem scale/The Personal and Social Performance Scale

分类

医药卫生

引用本文复制引用

陆怡,褚庆文,宋凤,张展星,张伟波,蔡军..优势视角下的个案管理模式对社区精神分裂症患者康复的影响[J].中国健康心理学杂志,2017,25(7):993-997,5.

基金项目

上海卫生计生系统重要薄弱学科建设项目(编号:2015ZB0405) (编号:2015ZB0405)

宝山区科委课题(编号:14-E-41) (编号:14-E-41)

宝山区医学重点学科建设项目(编号:BSZK-2014-A08[02]) (编号:BSZK-2014-A08[02])

上海市公共卫生体系建设9年行动计划项目(编号:GWⅣ-6) (编号:GWⅣ-6)

中国健康心理学杂志

2096-4811

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