个案管理模式对精神分裂症患者疗效及生存质量的影响分析

Effect of case management model on curative effect and quality of life in patients with schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(2)
作者
作者单位

.绵阳市第三人民医院 心身疾病一科 ;
绵阳市第三人民医院 ;

摘要
【摘要】目的:探究个案管理模式对精神分裂症患者疗效及生存质量的影响。方法:研究对象选取为2016.12~2017.3之间我院收治的110例精神分裂症患者,采用数字表法随机分为个案管理组和对照组各55例,两组患者均采用常规抗焦虑药物治疗,个案管理组患者在此基础上进行个案管理,采用临床疗效总评量表(CGI)和健康调查简表(SF-36)评价两组患者干预前、干预1周、干预2周、干预4周、干预8周时的疗效及生存质量。结果:干预前两组患者的CGI评分对比均无显著差异(P>0.05),干预后两组患者的CGI评分较干预前均显著改善(P<0.05),但干预2周、干预4周、干预8周时个案管理组患者的CGI评分均显著优于对照组(P<0.05);干预前两组患者的各项SF-36评分对比均无显著差异(P>0.05),干预后两组患者的角色功能、精力、社会功能、心理健康、情感功能及总体健康较治疗前均显著改善(P<0.05),但干预1周、干预2周、干预4周、干预8周时个案管理组患者的CGI评分均显著优于对照组(P<0.05)。结论:个案管理模式用于精神分裂症患者的管理能够有效的改善患者的疗效及生存质量,值得在临床上推广和应用。
Abstract
[Abstract] Objective: To explore the effect of case management on the curative effect and quality of life of schizophrenic patients. Methods: 110 patients with schizophrenia were randomly divided into case management group and control group (n = 55). The patients were treated with conventional anxiolytic therapy, (CGI) and Health Survey (SF-36) were used to evaluate the intervention of the two groups before 1 week, 2 weeks of intervention, 4 weeks of intervention, 8 weeks of intervention and quality of life. Results: There was no significant difference in CGI scores between the two groups before treatment (P> 0.05). The CGI scores of the two groups were significantly improved (P <0.05), but the intervention was 2 weeks, The CGI scores of patients in the case management group were significantly better than those in the control group at 8 weeks (P <0.05). There was no significant difference in the SF-36 scores between the two groups before the intervention (P> 0.05) The roles, energy, social function, mental health, affective function and overall health of the patients were significantly improved (P <0.05), but intervened for 1 week, 2 weeks of intervention, 4 weeks of intervention, 8 weeks after the case management group The CGI score of the patients was significantly better than that of the control group (P <0.05). Conclusion: Case management model for the management of patients with schizophrenia can effectively improve the patients efficacy and quality of life, it is worth in the clinical promotion and application.
关键词
【关键词】精神分裂症;个案管理;疗效;生存质量
KeyWord
[Key words] schizophrenia; case management; efficacy; quality of life
基金项目
页码 256-258
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杨文君*,杨昆,黄国平,赵晓艳. 个案管理模式对精神分裂症患者疗效及生存质量的影响分析 [J]. 国际精神病学杂志. 2018; 45; (2). 256 - 258.

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