综合干预对重性精神障碍患者康复的疗效

Abstract
Figure/Table
References (21)
Related Citation (15)

Download: PDF (539 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To discuss the clinical effect of comprehensive intervention on the rehabilitation of patients with severe mental disorders. Methods From July 2014 to June 2015, 83 patients with severe mental disorders and registered in Mental Health Center of Shanghai Baoshan District were selected, all patients received comprehensive intervention included health education, psychological intervention, diet intervention, exercise intervention. The patient′s condition, the doctor′s advice, labor ability and quality of life before and after the intervention were compared. Results The stability degree of patients before and after intervention was compared, the difference was statistically significant (P < 0.05). After the intervention, the proportion of convalescent patients was significantly higher than before the intervention, and the proportion of patients with recurrence after intervention was significantly lower than before intervention, the differences were statistically significant (P < 0.05). The labor ability of the patients before and after intervention were compared, the difference was statistically significant (P < 0.05). After the intervention, the proportion of no working ability was significantly lower than that before the intervention, the difference was statistically significant (P < 0.05). The prescribed medication compliance of patients before and after the intervention were compared, the differences were statistically significant (P < 0.05). After the intervention, the proportion of full compliance was higher than before the intervention, the noncompliance ratio was lower than before the intervention, the differences were statistically significant (P < 0.05). The physical function, psychological function, social function, material life and the total scores of GQOLI-74 after intervention were significantly higher than those before intervention, the differences were statistically significant (P < 0.05). Conclusion Comprehensive intervention can significantly improve the community patients with severe mental disorders disease, increase the treatment compliance, and improve the ability to work and quality of life of patients, promote the rehabilitation of diseases, which has important application value, worthy of promotion.

Key words： Comprehensive intervention Severe mental disorder Clinical effect Quality of life

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHU Qingwen SUN Qiufang LU Yi ZHANG Zhanxing SONG Feng

Cite this article:

CHU Qingwen SUN Qiufang LU Yi ZHANG Zhanxing SONG Feng. Effect of comprehensive intervention on rehabilitation of patients with severe mental disorders[J]. 中国医药导报, 2018, 15(5): 127-130.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I5/127

[1] 孟巍，徐良雄，孟素华，等.综合干预对康复期重性精神病患者生活质量的影响[J].精神医学杂志，2016，29（1）：53-55.
[2] 元艳平，沈振明，白振菊.电话回访机制在重性精神障碍全病程综合干预中的应用[J].中国健康心理学杂志，2013， 21（1）：15-16.
[3] 羊健蓉.综合干预对重性精神病患者健康状况和生活质量的影响[J].临床精神医学杂志，2012，22（5）：338-340.
[4] Stant A，Busschbach JV，Vugt M，et al. PMH19 a rehabilitation intervention to help people with severe mental illness obtain and keep a paid job：the economic evaluation [J]. Value in Health，2012，15（7）：337-343.
[5] 许意清，李越，姜宝法.重性精神病患者肇事肇祸社区综合管理干预效果meta分析[J].中国公共卫生，2015，31（8）：1091-1094.
[6] Aschbrenner KA，Mueser KT，Bartels SJ，et al. Perceived social support for diet and exercise among persons with serious mental illness enrolled in a healthy lifestyle intervention [J]. Psychiatric Rehabilitation Journal，2013，36（2）：65-71.
[7] 美国精神医学学会.精神障碍诊断与统计手册[M].北京：北京大学出版社，2014：121-124.
[8] 李方敏，朱未名.精神病患者劳动能力鉴定的分析及探讨[J].中华精神科杂志，2004，37（4）：231.
[9] 胡婀娜，胡伟明.健康教育对精神疾病伴发高血压患者遵医嘱行为的影响[J].中国卫生检验杂志，2016，26（19）：2764-2766.
[10] 汪向东，王希林，马弘.心理卫生评定量表手册（增订版）[M].北京：中国心理卫生杂志出版社，1999：88-100.
[11] Friedmann E，Galik E，Thomas SA，et al. Evaluation of a pet-assisted living intervention for improving functional status in assisted living residents with mild to moderate cognitive impairment：a pilot study [J]. Am J Alzheimers Dis Other Demen，2015，30（3）：276-289.
[12] 舒大林.重性精神病患者实施社区综合干预效果分析[J].实用预防医学，2013，20（8）：1016-1017.
[13] Glocker C，Kirchberger I，Gläβel A，et al. Content validity of the comprehensive international classification of functioning，disability and health （ICF） core set for low back pain from the perspective of physicians：a Delphi survey [J]. Chronic Illness，2013，9（1）：57-72.
[14] 王彩虹，杨永杰，乔霞，等.院外延续护理对精神分裂症患者康复和生活质量的影响[J].护理管理杂志，2012， 12（12）：884-886.
[15] 徐江玲，邹海欧，索志敏，等.重性精神疾病患者主要照顾者对暴力行为的认知状况调查[J].中国护理管理，2015， 17（2）：222-225.
[16] 齐秀芳，王建军，周久利，等.石家庄市重性精神障碍患者现状调查[J].检验医学与临床，2017，14（Z1）：253-254.
[17] Jimenez DE，Thomas L，Bartels SJ. The role of serious mental illness in motivation，participation and adoption of health behavior change among obese/sedentary Latino adults [J]. Ethn Health，2017，11（10）：1-8.
[18] Clouston SAP，Shapira O，Kotov R，et al. Proton pump inhibitors and the risk of severe cognitive impairment： The?role of posttraumatic stress disorder [J]. Alzheimers Dement（NY），2017，3（4）：579-583.
[19] Jorgensen A，Siersma V，Davidsen AS，et al. Markers of DNA/RNA damage from oxidation as predictors of a registry-based diagnosis of psychiatric illness in type 2 diabetic patients [J]. Psychiatry Res，2017，6（259）：370-376.
[20] Paraskevoulakou A，Vrettou K，Pikouli K，et al. Mental illness related internalized stigma：psychometric properties of the brief ISMI scale in Greece [J]. Mater Sociomed，2017，29（3）：211-215.
[21] 蒋霞，赵文莉，潘卫民，等.甘肃省70538例居家重性精神疾病患者管理效果评价[J].中国神经精神疾病杂志，2017，43（1）：26-30.