个案管理对社区精神分裂症患者康复的影响

目的了解个案管理对社区精神分裂症患者康复的影响。方法选取成都市金牛区34名社区精神分裂症患者，精神科专业医护人员进行社区个案管理治疗，治疗时间为12个月。效果评定量表包括，阳性、阴性症状量表（PANSS）、社会功能缺陷量表（SDSS）、危险性行为评定量表及生活质量量表。评定时间为基线、6个月后和12个月后。数据间的对比应用单因素方差分析。结果PANSS、SDSS、危险性行为及生活质量情况均有所变化。结果显示阳性症状（F=5．02，P＝0．001）和阴性症状（F=13．15，P=0．000）的分数均降低；随访后危险性行为的次数（暴力＝3．55，P=0．024；肇事＝6．32，P＝0．000；肇祸F＝5．11，P=0．000）和SDSS评分（F=10．21，P=0．000）也有所降低；生活质量量表的评分有所提高（躯体健康F=3．68，P=0．021、心理健康F=4．51，P＝0．011、社会关系F=4．19，P=0．009、环境F=8．34，P＝0．000、总分F＝3．21，P=0．035）。结论对精神病患者实行社区个案管理制度有利于精神分裂症患者的康复。

The influence of case management on recovery of schizophrenia patients living in community

Objective To identity the influence of case management on recovery of schizophrenia patients living in community. Methods We recruited 34 schizophrenia patients received ease management therapy by health care professionals lasting 12 months. The assessing tools included PANSS, SDSS, dangerous behavior scale and WHOQOL-BRIEF. Data was deal with One--way analysis of variance. Results The outcome of analysis showed that all the changes ex- pressed in PANSS （positive subscale F=5.02, P=0. 001, negative subscale F=13.15, P=0. 000） ,SDSS （F=10. 21, P= 0. 000）, dangerous behavior scale （violence F = 3.55, P = 0. 024 ; incidence F = 6. 32, P = 0. 000 ; criminality F = 5.11, P=0. 000） and WHOQOL-BRIEF （physical health F=3.68, P=0. 021; mental health F=4. 51, P=0. 011; social relations F=4.19, P=0. 009; living environment F=8.34, P=0. 000; total score F=3.21, P=0. 035）. Conclusion Case management has benefit to the recovery of schizophrenia patients living in community.