首页|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

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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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。
Development and Implementation of Social Support Combined with Rehabilitation Training Management of Urban Vagrant Mental Patients
Objective 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.

Mental illnessSocial supportRehabilitation training managementUrban vagrant

蔡丽莉、刘峥荣、蒋志斌

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广州市民政局精神病院,广东 广州 510000

精神病 社会支持 康复训练管理 城市流浪者

广州民政科技基金科研项目

2021MZK07

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(2)
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