城市流浪精神病患者社会支持联合 康复训练管理的制定与实施
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蔡丽莉,女,副主任医师,主要研究方向是精神康复。

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R 473.74

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广州民政科技基金科研项目(2021MZK07)


Development and Implementation of Social Support Combined with Rehabilitation Training Management of Urban Vagrant Mental Patients
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    摘要:

    摘 要目的:探讨城市流浪精神病患者社会支持联合康复训练管理的制定与实施效果。 方法:选取广州市民 政局精神病院 2021 年 1 月至 2022 年 11 月收治的 150 例城市流浪精神病患者,采用随机数字表法将全部患者均分为 对照组与观察组,各 75 例。对照组给予常规医疗护理模式进行管理,观察组给予社会支持联合康复训练管理。比较 两组患者管理前后临床症状[精神病评定量表(BPRS)评分、康复状态量表(MRSS)评分],社会功能[住院精 神病人社会功能评定量表(SSPI)评分],生活质量[精神分裂症患者生活质量量表(SQLS)评分]及管理期间不 良事件情况。 结果:两组患者管理后的 BPRS 评分及 MRSS 评分均分别明显低于组内管理前,差异具有统计学意义 (P < 0.05);观察组患者管理后 BPRS 评分(31.56 ± 4.11)分、MRSS 评分(30.43 ± 4.29)分均明显低于对照组 (36.75 ± 4.82)分、(37.91 ± 6.63)分,差异具有统计学意义(P < 0.05)。两组患者管理后 SSPI 评分均分别明显 高于组内管理前,SQLS 评分均分别明显低于组内管理前,差异具有统计学意义(P < 0.05);观察组患者 SSPI 评分 (32.14 ± 4.32)分明显高于对照组(28.55 ± 3.97)分,而 SQLS 评分(34.68 ± 4.45)分明显低于对照组(45.29 ± 5.76)分,差异具有统计学意义(P < 0.05)。观察组患者不良事件发生率(2.67 %)明显低于对照组(13.33 %), 差异具有统计学意义(P < 0.05)。 结论:对城市流浪精神病患者给予社会支持联合康复训练管理,可明显改善其临 床症状,有效提高其社会功能及提升其生活质量。

    Abstract:

    AbstractObjective To explore the effect of social support combined with rehabilitation training management for urban vagrant mental patients. Methods A total of 150 urban vagrant mental patients admitted to Guangzhou Civil Affairs Bureau Mental Hospital from January 2021 to November 2022 were selected and divided into a control group and an observation group by random number table method, with 75 patients in each group. The control group was administered with conventional medical nursing mode, while the observation group was administered with social support combined with rehabilitation training. Clinical symptoms [brief psychiatric rating scale (BPRS) score, morningside rehabilitation status scale (MRSS) score], social function [scale of social function in psychosis inpatients (SSPI) score], quality of life [schizophrenia quality of life scale (SQLS) score] and adverse events during management were compared between the two groups. Results The BPRS score and MRSS score of the two groups after management were significantly lower than those before management, with statistical significance differences (P < 0.05). After management, BPRS score (31.56 ± 4.11) and MRSS score (30.43 ± 4.29) in the observation group were significantly lower than those in the control group (36.75 ± 4.82) and (37.91 ± 6.63), and the differences were statistically significant (P < 0.05). After management, SSPI scores were significantly higher, and SQLS scores were significantly lower than that before management in the two groups, with statistical significance differences (P < 0.05). SSPI score (32.14 ± 4.32) in the observation group was significantly higher than that in the control group (28.55 ± 3.97), while SQLS score (34.68 ± 4.45) was significantly lower than that in the control group (45.29 ± 5.76), the differences were statistically significant (P < 0.05). The incidence of adverse events in the observation group (2.67%) was significantly lower than that in the control group (13.33%), and the differences were statistically significant (P < 0.05). Conclusion Social support combined with rehabilitation training management for urban vagrant mental patients can significantly improve their clinical symptoms, effectively improve their social functions and enhance their quality of life.

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  • 收稿日期:2023-11-05
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  • 在线发布日期: 2024-06-07
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