流浪精神病患者自我管理的实施与效果分析

The implementation and effect analysis of self-management on homeless mentally pa-tients

目的：探讨对流浪精神病患者实施自我管理的方法并分析其效果。方法对70例处于恢复期的流浪精神病患者实施自我管理训练。应用阳性和阴性症状量表（PANSS）、住院患者护士观察量表（NOSIE）综合评定患者的康复效果。结果对患者实施自我管理1年后,PANSS 和 NOSIE 量表各因子得分与入组时比较,差异有统计学意义（P〈0.05）；尤其阴性症状、一般精神病理表现社会能力、个人整洁、迟缓等因子,差异更显著（P〈0.001）。结论对流浪精神病患者可以实施有针对性的自我管理训练,自我管理训练能够提高患者的生活能力及社会功能,值得在临床推广应用。

Objective To explore the self-management method for homeless mentally patients and analyze it＆#39;s effects. Methods A total of 70 cases of homeless mentally patients at recovery period were given self-management train-ing. The Positive and Negative Symptoms Scale （PANSS） and Nurses＆#39; Observation Scale for Inpatient Evaluation （NOS-IE） were used to evaluate the patients＆#39; comprehensive rehabilitation effects. Results After the implementation of self-management for a year, each factor score of PANSS and NOSIE scale were compared with that of the beginning, and the differences were statistically significant （P〈0. 05） . The differences were even more dramatic in terms of the negative symptoms, general psychiatric symptoms and any other reasons such as social ability, personal cleanliness and tardy （P〈 0. 001 ） . Conclusions We can implement targeted self-management training on the homeless mentally patients. Self-management training can improve the patients＆#39; life ability and social ability. It deserved promotion and ap-plication in clinical work.