全病程个案管理在精神分裂症患者治疗中的应用效果

摘要

Objective To explore the application effect of case management during the whole course of disease in the treatment of patients with schizophrenia. Methods 168 patients with schizophrenia from January 2012 to January 2013 in our hospital were selected and randomly divided into the intervention group and the control group,84 cases in each group.The control group was treated with regular medicine therapy,the intervention group was given case management during the whole course of disease.The score of positive and negative syndrome scale,social disability screening sched-ule,personal and social performance scale,WHO quality of life scale in two groups after treatment at half a year,one year and two years was compared. Results The score of positive and negative syndrome scale,social disability screening schedule in the intervention group after treatment at half a year,one year and two years was lower than that in the con-trol group,with significant (P<0.05).The score of personal and social performance scale in the intervention group after treatment at half a year,one year and two years was higher than that in the control group,with significant (P<0.05).The score of WHO quality of life scale such as physical field,quality of life,independence field and spiritual support in the intervention group after treatment at half a year,one year and two years was higher than that in the control group,with significant (P<0.05). Conclusion Case management during the whole course of disease can obviously improve schizophrenic patients’compliance,life ability,society function and life quality,it is worthy of clinical promotion and ap-plication.%目的：探讨全病程个案管理在精神分裂症患者治疗中的应用效果。方法选取本院2012年1月~2013年1月对收治的的168例精神分裂症患者作为研究对象，随机分成干预组和对照组，各84例。对照组采取常规药物治疗，干预组在对照组的基础之上采取全病程个案管理。比较两组治疗后半年、1年、2年的阴性与阳性症状评定量表、社会功能缺陷筛选量表、个人与社会表规量表以及生存质量量表评分。结果干预组治疗半年后、1年后及2年后的阴性与阳性症状评定量表、社会功能缺陷筛选量表评分显著低于对照组，差异有统计学意义（P<0.05）。干预组治疗半年后、1年后及2年后的个人与社会表现量表评分显著高于对照组，差异有统计学意义（P<0.05）。干预组治疗半年后、1年后及2年后的生理领域、生存质量、独立性领域以及精神支柱等生存质量量表评分显著高于对照组，差异有统计学意义（P<0.05）。结论对精神分裂症患者实行全病程个案管理可以明显改善患者的治疗依从性、生活能力、社会功能以及生活质量，值得临床推广应用。