多部门联动管理模式在严重精神障碍患者延续护理中的应用  

Application of multi-sector linkage management mode in continuing care of patients with severe mental disorders

作　　者：李萍[1] 刘艳星[1] 查莉 万婷 周国权[1] LI Ping;LIU Yanxing;CHA Li;WAN Ting;ZHOU Guoquan(Putuo Mental Health Center of Shanghai,Shanghai 200065,China)

机构地区：[1]上海市普陀区精神卫生中心

出　　处：《护理管理杂志》2019年第5期373-377,共5页Journal of Nursing Administration

基　　金：上海市普陀区科学技术委员会自主创新项目(KW15207)

摘　　要：目的探讨多部门联动管理模式在严重精神障碍患者延续护理中的应用效果。方法选取严重精神障碍患者97例为研究对象,其中对照组52例,干预组45例,对照组实施常规护理,干预组在对照组基础上实施由医院护理部、区精神卫生疾病控制分中心、社区卫生服务中心、街镇居委会、街镇阳光心园组成的联动管理模式,干预结束后比较两组患者规律服药率、病情稳定率、社会功能及延续护理满意度。结果干预后,干预组患者规律服药率、病情稳定率、社会功能及对延续护理的满意度评分均高于对照组(P<0.01或P<0.05)。结论多部门联动管理模式能有效提高患者的服药依从性,促进患者病情稳定,改善其社会功能,切实提高患者对延续护理的满意度。Objective To explore the application effect of multi-sector linkage management mode in continuous nursing care of patients with severe mental disorders.Methods Selected 97 patients with severe mental disorders as the research object,52 cases in control group,while the other 45 in intervention group.The control group received routine nursing,and the intervention group were given extra linkage management implemented by nursing department,the district CDC sub-center of mental health,community health service centers,street and town residents' committees,sunshine mind garden program of street communities.Compared two groups of patients after the intervention treatment,in regards to patients' regular medication,stability,social function and nursing satisfaction.Results The intervention group's conventional medication rate,disease stability rate,social function and continuous nursing satisfaction score were higher than those of the control group ( P <0.01 or P <0.05).Conclusion Multi-sector linkage management model can effectively improve patient medication compliance,promote stability of disease,improve social function,and effectively improve patient satisfaction with continuous nursing care.

关 键 词：多部门联动管理 精神障碍 延续护理 

分 类 号：R473[医药卫生—护理学]