中山市社区康复精神病人社区-家庭一体化管理效果评估

The effect appraisal of the integration of management based on community and family with psychopaths of community rehabilitation in Zhongshan City

目的研究社区康复精神病人社区-家庭一体化管理的效果。方法将家庭支持因素引入现有"市精防院-镇医院-村卫生站"三级管理模式中,突出家庭支持的重要作用,收集管理前后精神病人所获得的社会(家庭)支持、综合生存质量和社会危害性等方面所发生的数据变化。结果实施社区-家庭一体化管理后精神病人受到家庭的接纳和照顾(照顾比例由原先的42.24%提高到77.37%),综合生存质量明显改善(生存质量问卷调查总分均值由开始时的111.21分下降到了管理后的107.96分),肇事肇祸率降低(年肇事肇祸率由管理前9.91%下降到4.09%),上述差异有统计学意义(P<0.05)。结论社区-家庭一体化管理(重视家庭因素的参与)可以明显改善精神病人生存质量和降低肇事肇祸率。

Objective To research the effect on the integration of management based on community and family with psychopaths of community rehabilitation. Methods Bring the support factors of family into three level of management pattern including mental heath hospital of city—the hospital of town—village clinics at this time, increase the important effect on the support factors of family, collect and manage data changes of the psychopaths before and after getting social(family) support,the quality of the comprehensive life, social harmfulness and other cases. Result After implementing the integration of management based on community and family, the psychopaths' obtained the acceptance and care from family(the ratio of care increased from 42.24% to 77.37%). The quality of the comprehensive life had significant improvement(At the beginning, the average of the total points of the quality of life questionnaire was 111.21,and then descended to 107.96, the lower of the score,the better of the quality of life). It also reduced the relapse of making-trouble(The relapse of making-trouble was reduced from9.91% to 4.09%. It shows that the difference was statistically significant(P<0.05). Conclusion The integration of management based on community and family(pay attend to the participation of the family factor), it can significantly improve the psychopath's quality of life and reduce the relapse of making-trouble.