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社区精神障碍患者实施个案管理的方法与效果
引用本文:何夏君,崔虹,丁寒琴,莫莉梅,麦志红. 社区精神障碍患者实施个案管理的方法与效果[J]. 护理管理杂志, 2012, 12(12): 887-888
作者姓名:何夏君  崔虹  丁寒琴  莫莉梅  麦志红
作者单位:[1]广东省人民医院心理精神科/广东省医学科学院广东省精神卫生中心,广州市510120 [2]广州市越秀区诗书街卫生服务中心,510120
基金项目:广东省科技计划项目(20108031900033);广东省医学科研项目(A2011043)
摘    要:
目的探讨对社区精神障碍患者实施个案管理的方法与效果。方法将90例精神障碍患者随机分为对照组和观察组,对照组由社区医生、护士和社工进行常规随访和指导,观察组由个案管理小组进行综合评估、建立档案,按照实施计划单进行综合干预。结果实施个案管理改善了社区精神障碍患者的社会功能,提高了患者的生活质量(P〈O.01)。结论对社区精神障碍患者实施个案管理可改善患者的社会功能,提高其生活质量。

关 键 词:精神障碍  个案管理  社区服务

Methods and effects of case management among mental disorder patients in the community
Affiliation:HE Xia - jun1 , CUI Hong1 , DING Han- qin1 , MOLi - mei1 , MAI Zhi - hong2 1. Department of Psychodynamic Psychiatry, People b Hospital of Guangdong Province/Mental Health Center of Guangdong Province, Academy of Medical Sciences of Guangdong Province, Guangzhou 510120, China ;2. Shishu Health Service Center of Yuexiu District, Guangzhou 510120, China
Abstract:
Objective To explore the methods and effects of case management among mental disorder patients in the community. Methods A total of 90 mental disorder patients were randomly divided into the control group and the experimental group. The routine follow - up and guidance were conducted by community physicians, nurses and social workers for the control group. The comprehensive assessment and the establishment of archives were taken for the experi- mental group by the case management groups. Results After the implementation of case management, the social function and the quality of life of community mental disorder patients were improved ( P 〈 0.01 ). Conclusion The implementation of case management can improve social function of community mental dis- order patients,and improve the patients'quality of life.
Keywords:mental disorder  case management  community service
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