个案管理护理模式对精神分裂症患者生活质量的影响

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个案管理护理模式对精神分裂症患者生活质量的影响

袁勤陆红英陶丽朱雪梅刘瑜俐沈英吴继红

上海市浦东新区南汇精神卫生中心护理部

出版日期:2015-02-25 发布日期:2015-02-25
基金资助:
上海市浦东新区卫生局卫生科技发展专项基金资助项目（PW2011A-38）

The impact of case management nursing model on the quality of life in schizophrenics

Online:2015-02-25 Published:2015-02-25

摘要/Abstract

摘要： 目的：探讨个案管理护理模式对精神分裂症患者生活质量、自知力和治疗态度的影响。方法：共入组精神分裂症患者55 例，脱落8 例。对入组患者实施个案管理护理模式并将这一护理模式延伸至社区，在入组时、出院时、出院后6 个月、出院后12 个月共4 次分别用精神分裂症病人生活质量量表（SQLS）和自知力与治疗态度问卷（ITAQ) 评定入组患者的生活质量以及自知力和治疗态度。结果：干预后自身对照，患者的生活质量以及自知力和治疗态度均有改善（P <0.01）；而在出院后6 个月、12 个月患者的生活质量，自知力和治疗态度都有不同程度的下降，出院后12 个月下降更为明显。结论：实施个案管理护理模式可以有效地提高患者的生活质量，自知力和治疗态度，住院期间实施个案管理护理模式效果明显。

Abstract: Objective: To explore the impact of case management nursing model on the quality of life,insight and treatment attitudes of schizophrenics. Methods: This study involved 55 schizophrenics in the beginning and 8 of which broke off in the middle. The case management nursing model was implemented on the aforesaid group and further elongated towards the living community. Schizophrenics were investigated with Schizophrenics Quality of Life Questionnaire (SQLS) and Insight and Treatment Attitude Questionnaire (ITAQ) at four different time spot, namely admission, discharge, 6 months after discharge and 12 months after discharge to examine the patients' quality of life and insight and treatment attitudes. Results: After intervention, the quality of life and insight and treatment attitudes of the patients were all improved (P<0.01) , while that of 6 months and 12 months after discharge have been decreased in different levels, especially in 12 months after discharge. Conclusion: The case management nursing model can effectively improve the quality of life, insight and treatment attitudes of the patients. The implementation of case management nursing model during hospital stay shows significant effects.

袁勤陆红英陶丽朱雪梅刘瑜俐沈英吴继红. 个案管理护理模式对精神分裂症患者生活质量的影响[J]. , 2015, 15(2): 182-185.