职业康复个案管理对社区精神分裂症患者康复效果的影响  

Effect of vocational rehabilitation case management on rehabilitation effect of community schizophrenia patients

作　　者：王莉[1] 吴淑华[1] 王桃[1] 郑宇婷[1] 甘郁文 麻玥萌 潘兴华[1] WANG Li;WU Shu-hua;WANG Tao;ZHENG Yu-ting;GAN Yu-wen;MA Yue-meng;PAN Xing-hua(The Third People′s Hospital of Jiangmen City,Guangdong Province,Jiangmen 529000,China)

机构地区：[1]广东省江门市第三人民医院,广东江门529000

出　　处：《中国当代医药》2020年第16期88-91,共4页China Modern Medicine

摘　　要：目的探讨职业康复个案管理对社区精神分裂症患者康复效果的影响。方法选取2018年10月~2019年4月在我院临床治愈出院的120例精神分裂症患者,按住院档案号,单数为对照组,双数为观察组,各60例。对照组实施社区个案管理,观察组实施职业康复个案管理,比较两组日常生活活动能力量表(ADL)评分、住院精神病病人康复疗效评定量表(IPROS)评分、疾病复发率和再就业率。结果两组干预前ADL、IPROS评分比较,差异无统计学意义(P>0.05)。干预3、6个月末,观察组的ADL评分均高于对照组,差异有统计学意义(P<0.01)。干预6个月末,观察组的IPROS总分及各因子评分均低于对照组,差异有统计学意义(P<0.01)。干预3个月,两组复发率比较,差异无统计学意义(P>0.05);干预6个月末,观察组复发率低于对照组,再就业率高于对照组,差异有统计学意义(P<0.05)。结论职业康复个案管理改善了出院精神分裂症患者人际交往和社会工作能力,提高了患者生活自理能力,稳定病情,减少了疾病复发,提高了患者再就业率。Objective To explore the effect of case management on the rehabilitation of community schizophrenia patients.Methods A total of 120 patients with schizophrenia who were cured and discharged from our hospital were selected.According to the hospitalization file number,the single number was the control group and the double number was the observation group,60 cases in each group.The control group implemented community case management,the observation group implemented vocational rehabilitation case management,and the two groups′daily living activity scale(ADL)scores,inpatient psychiatric patients′rehabilitation effect assessment scale(IPROS)scores,disease recurrence rate,and reemployment rate were compared.Results There were no significant differences in ADL and IPROS scores between the two groups before intervention(P>0.05).At the end of 3 and 6 months of intervention,the ADL scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.01).At the end of 6 months of intervention,the total IPROS score and the scores of all factors in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.01).Comparing the recurrence rates between the two groups,the difference was not statistically significant at the end of 3 months of intervention(P>0.05);at the end of 6 months of intervention,the recurrence rate in the observation group was lower than that in the control group,and the reemployment rate was higher than the control group,the differences were statistically significant(P<0.05).Conclusion Occupational rehabilitation case management improves the ability of interpersonal communication and social work of discharged schizophrenia patients,improves the ability of patients to take care of themselves,stabilizes the disease,reduces the recurrence of the disease,and improves the reemployment rate of patients.

关 键 词：职业康复 个案管理 精神分裂症 效果评价 

分 类 号：R743[医药卫生—神经病学与精神病学]