群体半开放管理对社区严重精神障碍患者生活质量的影响  

The effect on semi-open group management on quality of life in commu-nity patients with serious mental disorder

作　　者：王文军[1] 骆焕荣 陈艺军[1] 黄群明 叶郁葱[1] 张雪静[1] 邓筱璇 李非[1] 

机构地区：[1]广东省惠州市第二人民医院,广东惠州516001

出　　处：《中国医药导报》2015年第20期113-116,共4页China Medical Herald

基　　金：广东省惠州市科技计划项目(20140801)

摘　　要：目的探讨群体半开放管理对社区严重精神障碍患者生活质量的影响。方法选择2013年1月。2014年2月在惠州市第二人民医院治疗的严重精神障碍患者112例作为研究对象，采用对照研究。按照随机数字表法分为观察组（56例）和对照组（56例）。在药物治疗的基础上，对照组患者采取全封闭式管理模式，观察组患者采取群体半开放管理模式，应用SF-36量表为依据制订调查问卷，比较管理前后的生活质量状况。分析两种管理模式对两组生活质量的影响，采用社会功能缺陷筛选量表（SDSS）和日常生活能力（ADL）量表对两组进行测评，并用自制的满意度问卷对患者进行评定。以Fugl—Meyer评分对两组患者的运动能力进行评价。结果治疗前，两组患者SF-36量表评分比较差异无统计学意义（P〉0．05）；治疗3个月后，观察组患者的SF-36量表各项评分均高于对照组，差异有统计学意义（P〈0．05）。治疗前，两组SDSS和ADL量表评分比较差异无统计学意义（P〉0．05）；治疗后，两组SDSS和ADL量表评分均有一定程度下降，观察组患者改善程度优于对照组（P〈0．05）。观察组的总满意度（90．91％）高于对照组（69．57％），差异有统计学意义（X2=10．26，P〈0．05）。治疗后，两组运动能力比较差异有统计学意义（x^2=7．21，P〈0．05），观察组运动能力优于对照组。结论群体半开放管理对提高社区严重精神障碍患者生活质量有积极的促进作用，有助于提高患者的社会功能及生活自理能力，值得临床进一步推广研究。Objective To discuss the effect on semi-open group management on quality of life in community patients with serious mental disorder. Methods 112 patients with serious mental disorder treated in the Second People＇s Hospital of Huizhou City from January 2013 to February 2014 were selected as the research objects and randomly divided into observation group （56 cases） and control group （56 cases） by random number table method, while control study was applied. On the basis of drug therapy, totally enclosed management mode was taken for the patients in control group, and the semi-open management model was used for observation group, the questionnaire was made based on SF-36 scale and the survival quality before and after the management were compared, the quality of life between two groups within two kinds of management patterns were analyzed, the social function defect screening scale （SDSS） and ability of daily life （ADL） scale were used to test the condition of two groups, and the patients were assessed by self-made satisfaction questionnaire. Fugl-Meyer score was used to evaluate athletic ability of patients between two groups. Results Before treatment, SF-36 scale score between two groups was compared, with no statistical difference （P 〉 0.05）. After treatment of three months, SF-36 scale scores of observation group was higher than that of control group respectively, the difference was statistically significant （P 〈 0.05）. Before treatment, SDSS and ADL scale score between two groups was compared respectively, with no statistical difference （P 〉 0.05）. After treatment, SDSS and ADL scale score of both groups were decreased in some degree, improvement degree of observation group was better than that of control group （P 〈 0.05）. Total satisfaction rate of observation group （90.91%） was higher than that of control group （69.57%）, the difference was statistically significant （X2 = 10.26, P 〈 0.05）. After treatment, athletic ability between two groups was statistic

关 键 词：群体半开放 社区 严重精神障碍 生活质量 

分 类 号：R749[医药卫生—神经病学与精神病学]