“一三一”精准管控模式在高风险重性精神疾病患者中的应用效果探讨  

Exploring Application Effect of“One-Three-One”Precise Control Mode in Patients with High-Risk Severe Mental Illness

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作  者:关伟 曾宏梅 Guan Wei;Zeng Hongmei(Tuanjiehu Community Health Service Center in Chaoyang District,Beijing 100026,China)

机构地区:[1]北京市团结湖社区卫生服务中心,北京100026

出  处:《中国社区医师》2023年第14期58-60,共3页Chinese Community Doctors

摘  要:目的:探讨“一三一”精准管控模式在高风险重性精神疾病患者中的应用效果。方法:选取2021年1月—2022年9月北京市团结湖社区卫生服务中心在管的20例高风险重性精神疾病患者作为研究对象,于2022年2—9月均实施“一三一”精准管控模式干预,比较干预前、干预3个月后、干预6个月后患者简明精神病评定量表(BPRS)评分、个人与社会功能量表(PSP)评分、0~5级危险评估量表评估结果、社区重性精神疾病患者安全风险评估量表评分。结果:干预3个月后,20例患者BPRS、社区重性精神疾病患者安全风险评估量表评分均低于干预前,PSP评分均高于干预前,差异有统计学意义(P<0.05)。干预6个月后,20例患者BPRS、社区重性精神疾病患者安全风险评估量表评分低于干预前及干预3个月后,PSP评分高于干预前及干预3个月后,行为有危险风险率低于干预前,差异有统计学意义(P<0.05)。结论:“一三一”精准管控模式在高风险重性精神疾病患者中的应用效果显著,可改善患者个人与社会功能,降低社会风险,促进病情恢复。Objective:To explore the application effect of“one-three-one”precise control mode in patients with high-risk severe mental illness.Methods:A total of 20 patients with high-risk severe mental illness who were managed by Tuanjiehu Community Health Service Center in Chaoyang District of Beijing from January 2021 to September 2022 were selected as the study subjects.From February 2022 to September 2022,the“one-three-one”precise control mode intervention was implemented.The Brief Psychiatric Rating Scale(BPRS)score,Personal and Social Performance(PSP)scale score,risk assessment scale(0-5 grade)assessment result,and safety risk assessment scale for patients with severe mental illness in the community were compared before intervention,at 3 months after intervention and at 6 months after intervention.Results:At 3 months after the intervention,the scores of BPRS and the safety risk assessment scale score for patients with severe mental illness in the community were lower than those before the intervention,and the PSP scores were higher than those before the intervention,and the difference was statistically significant(P<0.05).At 6 months after the intervention,the BPRS and the safety risk assessment scale score for patients with severe mental illness in the community were lower than those before the intervention and at 3 months after the intervention,the PSP scores were higher than those before the intervention and at 3 months after the intervention,and the rate of behavior at risk was lower than that before the intervention,with statistically significant difference(P<0.05).Conclusion:The“one three-one”precise control mode has significant application effect in patients with high-risk severe mental illness,it can improve the personal and social function of patients,reduce the social risk and promote the recovery of disease condition.

关 键 词:“一三一”模式 精准管控 高风险重性精神疾病 

分 类 号:R749[医药卫生—神经病学与精神病学]

 

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