基于个案管理模式的延续性护理干预在改善重症精神分裂症患者社会功能、康复效果及生活质量中的应用效果分析

Analysis of the Effectiveness of Case Management Model-based Continuum of Care Intervention in Improving Social Functioning, Rehabilitation Outcome and Quality of Life of Patients with Severe Schizophrenia

目的:分析基于个案管理模式的延续性护理干预在改善重症精神分裂症患者社会功能、康复效果及生活质量中的应用效果。方法:选取2017年1月—2021年1月上饶市第三人民医院收治的66例重症精神分裂症患者作为研究对象,根据护理模式不同分为对照组32例和观察组34例,对照组行常规护理干预,观察组行基于个案管理模式的延续性护理干预。对比两组患者社会功能缺陷筛选量表(SDSS)、住院精神患者康复疗效评定表(IPROS)、生活质量量表(SF-36)及护理满意度。结果:干预后,两组患者SDSS评分均下降,且观察组SDSS评分低于对照组,差异有统计学意义(t=21.647,P<0.05);观察组工疗情况、生活能力、社效能力、讲究卫生能力、关心和兴趣评分均低于对照组,差异有统计学意义(t=12.488,P<0.05);观察组生理功能、角色功能、心理功能、社会功能评分均高于对照组,差异有统计学意义(t=4.930、5.056、4.919、2.990,P<0.05);观察组护理满意度高于对照组,差异有统计学意义(χ^(2)=4.686,P<0.05)。结论:基于个案管理模式的延续性护理干预应用于重症精神分裂症患者中,有利于提高其社会功能、改善其康复效果及生活质量。

Objective:To analyze the effectiveness of a case management model-based continuum of care intervention in improving social functioning,rehabilitation outcomes and quality of life in patients with severe schizophrenia.Methods:66 patients with severe schizophrenia admitted to the hospital from January 2017 to January 2021 were selected as study subjects and divided into 32 cases in the control group and 34 cases in the observation group according to the different modes of care.The control group performed conventional nursing interventions,and the observation group performed continuous nursing interventions based on a case management model.The Social Deficit Screening Scale(SDSS),Inpatient Psychiatric Rehabilitation Outcome Rating Scale(IPROS),Quality of Life Scale(SF-36)and nursing satisfaction were compared between the two groups.Results:After the intervention,the SDSS scores decreased in both groups,and the SDSS in the observation group was lower than that in the control group,with statistically significant differences(t=21.647,P<0.05).The observation group had lower work therapy,life skills,social efficiency,hygiene skills,care and interest scores than the control group,and the difference was statistically significant(t=12.488,P<0.05).The physical function,role function,psychological function,and social function scores of the observation group were higher than those of the control group,and the differences were statistically significant(t=4.930,5.056,4.919,2.990,P<0.05).The observation group had higher nursing satisfaction than the control group,and the difference was statistically significant(χ^(2)=4.686,P<0.05).Conclusion:Continuing care interventions based on a case management model are beneficial for patients with severe schizophrenia to enhance their social functioning,improve their recovery outcomes and quality of life.