昆明医科大学学报2026，Vol.47Issue(1)：107-113,7.DOI:10.12259/j.issn.2095-610X.S20260113
医院-社区-家庭联动模式干预对精神分裂症患者出院康复期的影响研究
Impact of Hospital-Community-Family Linkage Model Intervention on Patients with Schizophrenia during the Post-Discharge Rehabilitation Period
摘要
Abstract
Objective To explore the effects of a hospital-community-family linkage nursing model on the unplanned readmission rate,Activity of Daily Living Scale(ADL),Brief Psychiatric Rating Scale(BPRS),and Social Disability Screening Schedule(SDSS)scores of patients with convalescent schizophrenia within 6 months after discharge.Methods A randomized controlled trial was conducted using a random number table.Ninety-eight eligible patients with convalescent schizophrenia discharged from a tertiary-grade a psychiatric hospital between January 2022 and January 2023 were enrolled and randomly assigned to an intervention group(n=49)and a control group(n=49).The control group received routine continuous care,including telephone follow-ups and reminders f or re-examinations.The intervention group received hospital-community-family linkage interventions,including dynamic health management,community rehabilitation activities,and family supervision.Repeated measures analysis of variance(ANOVA)was used to compare rehabilitation outcomes at different time points between the two groups.Results At 6 months post-discharge,the unplanned readmission rate was 6.12% in the intervention group,significantly lower than that in the control group(42.86%)(χ2=18.732,P<0.001).Repeated measures ANOVA revealed significant time and group interaction effects,time main effects,and group main effects for:ADL(F=13.753/40.338/24.172,P<0.001),SDSS(F=15.117/25.338/10.612,P<0.001),BPRS(F=27.289/74.970/70.157,P<0.001).At 6 months,the intervention group showed significantly better outcomes than controls in:ADL(14.32±1.14,21.77±4.68;P<0.05),SDSS(2.98±2.05,7.26±2.88;P<0.05),BPRS(19.30±2.24,33.82±5.59;P<0.05).Conclusion The hospital-community-family linkage nursing model can effectively reduce the unplanned readmission rate and improve the daily living ability of patients with convalescent schizophrenia.关键词
精神分裂症/医院-社区-家庭联动/非计划再住院率Key words
Schizophrenia/Integrated hospital-community-family care/Unplanned readmission rate分类
医药卫生引用本文复制引用
谭澍,曾静,马润娟,尹文卅..医院-社区-家庭联动模式干预对精神分裂症患者出院康复期的影响研究[J].昆明医科大学学报,2026,47(1):107-113,7.基金项目
云南省科技厅基础研究计划项目(202501AY070001-231) （202501AY070001-231）
云南省教育厅科学研究基金(2025J0266) （2025J0266）
