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目的探讨医院社区一体化随访模式对精神分裂患者出院后康复情况、生活质量及社会功能的影响。方法选取124例精神分裂症患者为研究对象,按照随机数字表法将其分为研究组和对照组各62例;研究组(56例入组,脱落6例)予以医院社区一体化随访护理模式处理;对照组(58例入组,脱落4例)仅予以常规护理模式处理。运用康复状态量表(MRSS)、简明精神病量表(BPRS)、生活质量综合评定量表(GQOLI)、社会功能缺陷筛选量表(SDSS)以及个体与社会功能(PSP)量表评估比较两组患者出院后2周、24周、48周时的康复情况、生活质量以及社会功能。结果干预2周时,两组患者相关评分比较均无统计学意义(P>0.05);干预24周、48周时,研究组MRSS和BPRS评分同干预2周时比较无明显差异(P>0.05);对照组患者MRSS和BPRS评分较干预2周时增加(P<0.05)。干预24周、48周时,两组GQOLI、PSP评分均较干预2周时显著提高,且研究组评分大于对照组(P<0.05),而两组SDSS评分较干预2周时显著降低,且研究组评分小于对照组(P<0.05)。结论将医院社区一体化随访模式应用于精神分裂症患者院后护理工作中,对提高其生活质量、改善其社会功能等具有积极影响。
Objective To explore the effect of hospital integrated community follow-up on the rehabilitation, quality of life and social function of schizophrenic patients after discharge. Methods A total of 124 schizophrenia patients were selected as study subjects, which were divided into two groups according to random number table method, 62 cases in study group and control group. The study group (56 cases in group and 6 cases in off group) Control group (58 cases into the group, 4 cases off) only conventional nursing mode. The two groups were compared using MRSS, BPRS, GQOLI, SDSS, and PSP (Personal Functionality and Social Function Scale) Patients were discharged at 2 weeks, 24 weeks, 48 weeks of recovery, quality of life and social function. Results There was no significant difference in the scores of MRSS and BPRS between the two groups at 24 weeks and 48 weeks after intervention at 2 weeks (P> 0.05) ); MRSS and BPRS scores of control group increased more than 2 weeks (P <0.05). At 24 weeks and 48 weeks after intervention, the scores of GQOLI and PSP in both groups were significantly increased compared with that at 2 weeks after intervention, and the score of the study group was significantly higher than that of the control group (P <0.05) The score of the research group was smaller than that of the control group (P <0.05). Conclusions Applying hospital integrated community follow-up model to post-natal care of patients with schizophrenia has a positive impact on improving their quality of life and improving their social functions.