社区严重精神障碍患者动态监护及同伴支持服务模式研究

Dynamic monitoring and peer support service of community patients with severe mental disorders

目的探究社区严重精神障碍患者动态监护及同伴支持服务模式(新型管护方案)对患者社区康复和生活质量的影响。方法随机抽取某社区内管理的严重精神障碍患者50例作为研究对象,通过自身对照比较新型管护方案实施前、实施后1年,患者病情控制率和生活质量情况。结果实施前疾病控制率为62.00%,实施新型管护方案1年后病情控制率为80.00%,差异有统计学意义(χ~2=3.934,P<0.05);实施后患者的生理功能(79.0±22.5)分、社会功能(64.2±11.5)分、生理职能(49.5±10.4)分、情感职能(69.5±19.2)分、生命活力(69.1±9.5)分等5个指标得分均高于实施前,差异均有统计学意义(均P<0.05)。此外,患者对监护及同伴支持服务模式总体满意度显著提高,实施前、后分别为70.00%和96.00%,差异有统计学意义(χ~2=11.977,P<0.05)。结论社区严重精神障碍患者的动态监护及同伴支持服务模式(新型管护方案)能有效提升社区管护效果,值得推广应用。

Objective To explore the effect of the pattern of dynamic monitoring and peer support services(new management and care plan)on the rehabilitation and quality of life of community patients with severe mental disorders.Methods Fifty patients with severe mental disorders managed in a community were randomly selected as the study subjects,and a self comparison of the patients’disease control rates and quality of life were made before and one-year after the implementation of the new management and care plan.Results The baseline disease control rate was 62.00%,and the disease control rate one year after implementing the new management and care plan was 80.00%,with a statistically significant difference(χ~2=3.934,P<0.05).Physiological function(79.0±22.5),social function(64.2±11.5),physiological role(49.5±10.4),emotional role(69.5±19.2)and vitality(69.1±9.5)of the patients after implementing the plan were all higher than their baselines,showing statistically significant differences(all P<0.05).In addition,the rate of overall satisfaction with dynamic monitoring and peer support services in the patients was significantly increased,with a statistically significant difference in the satisfaction rates before and after implementing the plan(70.00%vs.96.00%,χ~2=11.977,P<0.05).Conclusions Implementing dynamic monitoring and peer support services(new management and care plan)in the community patients with severe mental disorders can effectively improve the effect of community management and care,and it is worthy of being promoted and applied.