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黄劲梅, 许家锵, 蒋丽仪, 陈小青, 曾金生, 陈宇辉, 吕嘉春. 精神病社区干预的效果评价[J]. 中国公共卫生, 2002, 18(2): 223-224. DOI: 10.11847/zgggws2002-18-02-67
引用本文: 黄劲梅, 许家锵, 蒋丽仪, 陈小青, 曾金生, 陈宇辉, 吕嘉春. 精神病社区干预的效果评价[J]. 中国公共卫生, 2002, 18(2): 223-224. DOI: 10.11847/zgggws2002-18-02-67
HUANG Jin-mei, XU Jia-qiang, JIANG Li-yi, . Evaluation on Effect of Community-Based Intervention on Mental Disorders[J]. Chinese Journal of Public Health, 2002, 18(2): 223-224. DOI: 10.11847/zgggws2002-18-02-67
Citation: HUANG Jin-mei, XU Jia-qiang, JIANG Li-yi, . Evaluation on Effect of Community-Based Intervention on Mental Disorders[J]. Chinese Journal of Public Health, 2002, 18(2): 223-224. DOI: 10.11847/zgggws2002-18-02-67

精神病社区干预的效果评价

Evaluation on Effect of Community-Based Intervention on Mental Disorders

  • 摘要: 目的 评价社区干预对精神疾病患者的康复效果。方法 对某社区1998年7月经全人群筛查发现的336例精神病患者采取针对性的药物、心理、工疗、护理等综合性社区干预与康复措施,经过3年社区干预,资科完整的有315例,对干预前后患者的健康状况、劳动能力和生存质量进行对比分析。结果 社区干预健康复措施的落实率由干预前的63.2%上升到干预后的99.7%;患者的病情改善率由18.1%上升为43.2%;使患者的劳动能力有较好的改善,全劳力和半劳力由13.0%上升为33.0%;干预后患者的生存质量显着高于干预前的水平(P<0.01).结论 社区干预能显着改善精神疾病患者的健康状况和生存质量。

     

    Abstract: Objective To evaluate the effect of community-based intervention on mental disorders in a comunity.Methods These 336 cases of mental disorders diagnosed in a community of Foshan city in July 1998 were given the community-based intervention,such as pharmacotherapy,psy chotherapy,labour treatment and nur sing.After 3-years intervention,315 cases finished that course.Their clinical features,working capacity and quality of life before and after the intervention were compared.Results After the intervention,there were more patients took the recuperative measure,from 63.2% increased to 99.7%,P<0.01.The remission rate was increased from 18.1% to 43.2%,P<0.01.The patients'working capacity were increased,that ratio of full and half working capacity was incr eased from 13.0% to 33.0%,P<0.01.The scores of quality of life measured by COOP/WONCA,QL-index and KPS were markedly higher than before,P<0.01.Conclusion The community-based inter ventions for the mental disor ders may significantly improve both their health status and quality of life.

     

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