初级卫生保健中同伴支持对严重精神障碍患者社会功能的影响  

Effect of peeRsupport in primary health care on social function of patients with severe mental disorders

作　　者：张卫国 李海忠 吕广有 崔勇[2] ZHANG Weiguo;LI Haizhong;LV Guangyou(Beijing Chaoyang District Third Hospital,Beijing 100121,China;不详)

机构地区：[1]北京市朝阳区第三医院,100121 [2]北京回龙观医院

出　　处：《河北医药》2023年第15期2376-2380,共5页Hebei Medical Journal

摘　　要：目的探讨初级卫生保健中同伴支持服务对严重精神障碍患者社会功能的效果。方法将2020至2021年北京市朝阳区16个社区卫生服务中心招募符合入组标准的282名严重精神障碍患者纳入同伴支持小组,遴选辅导员,开展规范培训,并于入组时、半年后、1年后进行生活满意度指数(LSIA)、自尊量表(SES)、个人与社会功能量表(PSP)、简明精神病量表(BPRS)评定,项目结束后(1年后)使用自制满意度调查问卷对入组对象开展针对该同伴支持服务项目的满意度调查。结果入组的282名严重精神障碍患者,生活满意指数(LISA)评分在参与同伴支持项目入组时、半年后和1年后差异有统计学意义(半年后与入组时P<0.05;1年后与半年后及入组时P<0.01)。SES评分入组、半年后及1年后差异无显著性(P>0.05);按医嘱服药组与不按医嘱服药组同伴支持活动前后LSIA、PSP评分差异无显著性(P>0.05),SES、BPRS评分差异有显著性(P<0.05);自主服药组与家人督促服药组同伴支持活动前后PSP评分差异有显著性(P<0.01),LSIA、SES、BPRS评分差异无显著性(P>0.05);1年后入组严重精神障碍患者对同伴支持服务项目整体满意率为98.22%。结论初级卫生保健机构针对严重精神障碍患者开展同伴支持服务,能够提高患者的生活满意度,改善患者的社会功能,患者对服务的满意率高。Objective To explore the effect of peeRsupport services in primary health care on the social function of patients with severe mental disorders.Methods A total of 282 patients with severe mental disorders were recruited from 16 community health service centers in Chaoyang District,Beijing from 2020 to 2021.They were included in peeRsupport groups foRstandard training,and counselors were selected.Patients were surveyed by the Life Satisfaction Index A(LSIA),the Self-Esteem Scale(SES),the Personal and Social Performance Scale(PSP),and the Brief Psychiatric Rating Scale(BPRS)at the time of enrollment,and 6 and 12 months.AfteRthe 1-yeaRprogram ended,the self-designed satisfaction questionnaire was used to survey the satisfaction rate of the peeRsupport service.Results There was a significant difference in the LISA of the peeRsupport service at the time of enrollment,and 6 and 12 months in 282 patients with severe mental disorders(the time of enrollment vs 6 months,P<0.05;12 months vs 6 months,and the time of enrollment,P<0.01).There was no significant difference in the SES scores at the time of enrollment,and 6 and 12 months(P>0.05).Patients were divided into the medical compliance group and ineffective medical compliance group;and there were no significant differences in the LSIA and PSP scores before and afteRpeeRsupport services between groups(P>0.05),while significant differences in the SES and BPRS scores were detected(P<0.05).Patients were then divided into self-medication group and family supervision group;and there were significant differences in the PSP scores before and afteRpeeRsupport service between groups(P<0.01),but no significant differences in the LSIA,SES and BPRS scores were detected(P>0.05).One yeaRlater,the overall satisfaction rate of patients with severe mental disorders intervened by peeRsupport was 98.22%.Conclusion PeeRsupport services foRpatients with severe mental disorders in primary health care institutions can improve the life satisfaction and social function,with a high satisfaction rat

关 键 词：初级卫生保健 同伴支持 严重精神障碍 社会功能 

分 类 号：R749.3[医药卫生—神经病学与精神病学]