个案管理服务对社区重性精神疾病的效果

Efficacy of case management services for severe mental illness in community

目的探讨个案管理服务对社区重性精神疾病的效果,为推进个案管理工作提供参考。方法选取2015年1月-2016年1月佛山市某社区参加个案管理服务的50例重性精神疾病患者为研究对象,采用量表(BPRS)、服药态度量表(DAI)和自制个案管理实施效果评估访谈表,评估个案管理服务的效果。结果参加个案管理后,患者及家人总满意度为85.26%,肇事肇祸为0,复发住院率下降了66.67%,就业率由参加前的8%提高到18%。结论个案管理服务可能有利于稳定社区重性精神疾病患者的病情,减少肇事肇祸发生率和复发住院率,提高就业率,提高家属的满意度及社会效益。

Objective To explore the efficacy of case management services for severe mental Hlness in community and to provide reference for the promotion of case management.Methods From January 2015 to January 2016,50patients with severe mental illness were selected as the subjects of a community in Foshan.The Brief Psychiatric Rating Scale （BPRS）,Drag Attitude Inventory （DAI） and self-made case management interview table were used to assess the efficacy of case management implementation evaluation questionnaire.Results After attending the case management,the patients and families satisfaction rate was 85.26%,the accident was 0,the recurrence rate was 66.67%,and the employment rate increased from 8% to 18% before the participation.Conclusion Case management services may be conducive to stabilize the community of patients with severe mental illness,reduce the rate of accident and recurrent hospitalization rate,improve the employment rate,improve family satisfaction and social benefits.