积极个案管理模式对女性住院精神分裂症患者生活质量及转归的随机对照研究

A randomized controlled study of positive case management model on quality of life and outcome of female inpatients with schizophrenia.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(2)
作者
作者单位

山西省社会福利精神康宁医院 ;

摘要
探讨积极个案管理模式及普通诊疗模式对精神分裂症患者的生活质量及转归的影响。方法 使用《国际疾病分类(第10版)》收集2016年9月到2018年1月期间在我院住院的符合入组及排除标准的女性精神分裂症患者(164例),根据随机数字表进行分组,其中积极个案管理模式组(干预组)82例,普通诊疗模式组(对照组)82例,两组一般资料无明显差异,治疗12周末对诊治效果进行评价,比较两组间有无差异。结果 ①两组症状无明显差异(t=0.29,p=0.77);②干预组生活质量优于对照组(t=2.83,p=0.01);③干预组住院天数小于对照组(t=-2.25,p=0.03);④ 干预组症状波动率及再住院率明显低于对照组(X2=7.05, p=0.01;X2=13.13, p=0.00)。结论 积极个案管理模式可以缩短患者的住院时间、改善患者生活质量及转归。
Abstract
Objective To explore the effect of positive case management mode and general treatment mode on the curative effect and outcome of schizophrenia patients. Method Using the international classification of diseases (10) in September 2016 to January 2018 during the hospitalization with into the group and exclude standards of 164 cases of female patients with schizophrenia, grouped according to individual apiration, the active case management mode group 82 examples, common diagnosis mode group 82 cases, no difference between the two groups of general information, 12 weeks after treatment to evaluate the diagnosis and treatment effect, is any difference between two groups. Results ①There was no significant difference between the two groups (t=0.29,p=0.77).②The quality of life in the intervention group was better than that in the control group (t=2.83,p=0.01).③The length of hospital stay in the intervention group was less than that in the control group (t=-2.25,p=0.03).(4) Fluctuation rate of symptoms or hospitalization rates again in the intervention group was significantly lower than that in the control group (X2=7.05, p=0.01;X2 = 13.13, p = 0.00).Conclusion Active case management mode can shorten the length of hospital stay, improve the quality of life and outcomes of patients.
关键词
精神分裂症;积极个案管理模式;生活质量;转归
KeyWord
schizophrenia; active case management mode; quality of life ;outcome
基金项目
页码 252-255
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白丽娟*,吴建杰,樊献丽,王艳,白慧芳,赵强. 积极个案管理模式对女性住院精神分裂症患者生活质量及转归的随机对照研究 [J]. 国际精神病学杂志. 2022; 49; (2). 252 - 255.

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