中国康复2026，Vol.41Issue(5)：303-309,7.DOI:10.3870/zgkf.2026.05.009
支持性就业个案管理模式对社区精神分裂症患者心理社交功能的干预效果
Effect on psychosocial functions of schizophrenia by case management model of supportive employment
摘要
Abstract
Objective:To explore the intervention effect of the"3+6+13"case management model for supportive employment on the mental status and psychosocial function of community schizophrenia patients,and to provide ref-erence for promoting patient employment.Methods:Totally,52 community schizophrenia patients were selected as the research subjects and randomly divided into an intervention group and a control group with 26 cases each.The control group received routine community rehabilitation,and the intervention group received a supportive employ-ment"3+6+13"case management model on the basis of the control group.The mental status,psychological effects,and psychological social function levels were compared between the two groups one year later.Results:Af-ter one year of intervention,patients in the intervention group exhibited superior comprehension ability,acceptance of illness,sleep quality,household activities,acquisition of new knowledge and skills,social interpersonal commu-nication ability,and non-adaptive behaviors compared to the control group(P<0.05).The scores of the core self-evaluation scale(CSES)and the respect for self-esteem scale(RSES)increased in the patients after intervention,with the score of intervention group being higher than that in the control group(P<0.05).The scores in the three dimensions of social skills,interpersonal relationships,and social adaptability in the psychosocial function assess-ment scale after intervention increased compared to those before intervention(P<0.05),with the scores of inter-vention group being higher than those in the control group(P<0.05).Specifically,in the social skills di-mension,scores for eye contact,social distance,and thought expression after intervention increased com-pared to those before intervention(P<0.05),with the scores of intervention group being higher than the control group(P<0.05).In the interpersonal relationships di-mension,scores for contact with staff and coexistence with others after intervention increased compared to those be-fore intervention(P<0.05),with the score of intervention group being higher than that in the control group(P<0.05).In the social adaptability dimension,scores for motivation to participate in community activities,use of transportation,use of telephones,and use of landmarks after intervention increased compared to those before inter-vention(P<0.05),with the score of intervention group being higher than that in the control group.Conclusion:The"3+6+13"case management model of supportive employment can improve some of the psychological social functions of community schizophrenia patients,which is beneficial for their return to society.关键词
支持性就业/个案管理/精神分裂症/心理社交功能Key words
supportive employment/case management/schizophrenia/psychosocial function分类
医药卫生引用本文复制引用
庄晓伟,陈玉明,黄恬蕊,郑运洪,张芷雯..支持性就业个案管理模式对社区精神分裂症患者心理社交功能的干预效果[J].中国康复,2026,41(5):303-309,7.基金项目
2021年上海市静安区卫健委医学科研课题(No.2021GW01) （No.2021GW01）
