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目的：探索以社区为基础的慢性病病案管理模式对缓解期精神分裂症患者疗效及生活质量的影响。方法：将100例社区缓解期精神分裂症患者随机分为干预组（50例）和对照组（50例），干预组实行慢性病病案管理模式，对照组实施常规治疗护理模式，干预时间为1年。干预前后，分别采用阳性和阴性症状量表（ PANSS ）、社会功能缺陷筛查量表（SDSS）和生活质量评定量表（LQOL）对患者进行评定。结果：①干预前，干预组PANSS（49．46±7．36）分、SD（14．43±3．66）分，与对照组（48．73±8．25）分、（14．52±3．72）分比较，差异无统计学意义（P＞0．05）；②干预后，干预组PANS（44．25±5．53）、分SDSS（10．34±4．37）均明显低于对照组（57．83±9．66）分、（18．61±6．42）分，差异均具有统计学意义（P＜0．01），干预组的总生活质量状况显著高于对照组（t＝8．118，P＜0．01）。结论：性病病案管理模式可有效地改善缓解期精神分裂症患者病情，提高生活质量、促进社会康复。“,”Objective:To explore the effects of case management of chronic disease on quality of life of patients with schizophrenia with remission in community and provide reference for community mental health services .Methods:100 cases of community schizophrenic patients in remission were divided into the study group(50 cases)and control group(50 cases).The study group were implemented case manage-ment of chronic disease self management ,while the control group were implemented nursing intervention mode.The intervention lasted for 1 year.After that,the positive and negative symptom scale (PANSS),so-cial disability screening scale ( SDSS) and quality of life scale ( LQOL) were used to evaluate the effects . Results:①Before the intervention ,the study group had no difference with the control group in PANSS and SDSS .After the intervention ,the study group had lower scores on PANSS and SDSS than the control group(P<0.01).The total quality of life in the study group was significantly higher than that in control group(t=8.118,P<0.01).Conclusion:The right application of case management of chronic disease model can effectively strengthen the maintenance of remission in schizophrenic disease condition ,improve the quality of life and social function .