首页|"5S"+风控对精神分裂症出院患者自尊水平的心理康复作用

"5S"+风控对精神分裂症出院患者自尊水平的心理康复作用

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目的 分析男性精神分裂症出院患者应用"5S"+风控管理模式对促进其自尊水平提高及预后改善所发挥的作用。方法 回顾性分析2021年1-12月在福建省罗源县精神病防治院进行治疗且出院的114例男性精神分裂症患者作为对照组,应用常规管理模式;2022年1-12月在福建省罗源县精神病防治院进行治疗且出院的114例男性精神分裂症患者作为观察组,应用"5S"+风控管理模式。比较2组患者自尊水平、幸福感、社会功能缺陷及康复效果改善情况,比较2组复发率、再住院率及意外事件发生率。结果 干预前,2组自尊量表(self esteem scale,SES)评分、总体幸福感量表(general well-being schedule scale,GWB)评分及社会功能缺陷筛选量表(social disability screening scale,SDSS)评分比较,差异无统计学意义(P>0。05);干预后,观察组SES、GWB评分高于对照组,SDSS评分低于对照组(P<0。05)。干预前,2组康复疗效评定量表(inpatient psychiatric rehabilitation observing scale,IPROS)评分比较,差异无统计学意义(P>0。05);干预后,观察组IPROS评分低于对照组(P<0。05)。观察组复发率为3。51%、再住院率为1。75%、意外事件发生率为1。75%,低于对照组的14。04%、12。28%、14。04%(P<0。05)。结论 男性精神分裂症出院患者应用"5S"+风控管理模式可提高其自尊水平,对于强化康复效果可发挥积极作用。
The Psychological Rehabilitation Effect of"5S"+Risk Control on Self-Esteem Level of Discharged Patients With Schizophrenia
Objective To analyze the role of the"5S"+risk control management model in promoting the improvement of self-esteem and prognosis in discharged male patients with schizophrenia.Methods A total of 114 male patients with schizophrenia who were treated and discharged from Luoyuan County Mental Disease Prevention and Treatment Hospital,Fujian Province from January to December 2021 were retrospectively analyzed as the control group,conventional management mode was applied.A total of 114 male patients with schizophrenia who were treated and discharged from Luoyuan County Mental Disease Prevention and Treatment Hospital,Fujian Province from January to December 2022 were used as the observation group,and the"5S"+risk control management model was applied.The improvement of self-esteem,happiness,social dysfunction and rehabilitation effect were compared between the two groups,and the recurrence rate,re-hospitalization rate and accident rate were compared between the two groups.Results Before intervention,there was no significant difference in self esteem scale(SES)score,general well-being schedule scale(GWB)score and social disability screening scale(SDSS)score between 2 groups(P>0.05).After intervention,SES and GWB scores in the observation group were higher than those in the control group,and SDSS scores were lower than those in the control group(P<0.05).Before intervention,there was no statistically significant difference in scores of inpatient psychiatric rehabilitation observing scale(IPROS)between the two groups(P>0.05).After intervention,IPROS scores of the observation group were lower than those of the control group(P<0.05).The recurrence rate,re-hospitalization rate and accident rate of observation group were 3.51%,1.75%and 1.75%respectively,which were lower than 14.04%,12.28%and 14.04%of control group(P<0.05).Conclusion The application of"5S"+risk control management model in male discharged patients with schizophrenia can improve their self-esteem,and can play a positive role in strengthening rehabilitation effects.

schizophrenia"5S"+risk control management modeself esteem levelpositive rolerehabilitation effectrecurrence rate

陈建、占家铣、陈明、黄德慈、林晖、翁赛峥

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福州市第二总医院神经精神病防治院精神科,福建福州 350008

福建省罗源县精神病防治院精神科,福建福州 350605

精神分裂症 "5S"+风控管理模式 自尊水平 积极作用 康复效果 复发率

福建省福州市科技计划项目福州市"十四五"临床专科培强培优培育建设项目

2021-S-26420220106

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(18)