摘要
目的:探讨个案管理这一模式对门诊精神分裂症患者精神症状的影响。方法:门诊随机选取90名精神分裂症患者,应用PANSS量表对其精神症状进行评估,通过定期随访对患者的症状、心理、家庭和社会进行指导并制定康复计划,半年后再次对其精神症状进行评估,并对前后评估结果进行对比分析。结果:通过对比发现90名精神分裂症患者在阳性症状中的妄想、联想散漫、幻觉行为、兴奋、夸大、猜疑被害和敌对性等几方面差异明显(P<0.05);在阴性症状中只有情感交流障碍,交谈缺乏自发性和流畅性方面出现明显差异(P<0.05);在一般病理学量表的焦虑、紧张、装相和作态、不合作、不寻常思维、注意障碍、判断和自制力缺乏、意志障碍方面均出现了明显差异(P<0.05);在3个补充项目(愤怒、延迟满足困难、情感不稳)上面也有了明显差异(P≤0.05)。结论:说明个案管理这一模式可以促进门诊精神分裂症患者精神症状的改善。
Objective:To explore effects of case management onpsychiatric symptoms of outpatient with schizophrenia. Meth-ods:90 outpatients with schizophrenia were selected, and their psychiatric symptoms were assessed with PANSS. The symptoms、and psychological、family and social functions were guided with regular follow-ups and a rehabilitation program was made. Then, the psy-chiatric symptoms were assessed again and compared with those before the treatment. Results:The significant differences were found in the positive symptoms among the 90 schizophrenics, including delusion, incoherence of thinking, hallucinatory behavior, excitation, exaggeration, suspicion to be killed, and hostility (P﹤0. 05). And in negative symptoms only including emotional communication dis-orders and lack of spontaneityand fluency in conversation (P﹤0. 05). In the general pathology scale, there were significant difference-sin anxiety, tension, mannerism, uncooperative and unusual thought, attention deficit disorder, lack of judgment and self-control, and volitional disorder (P﹤0. 05). And also in 3 complementary projects (anger, delayedgratification, emotional instability) (P﹤0. 05). Conclusions:The case management can improve the psychiatricsymptoms of outpatient with schizophrenia.
出处
《中国民康医学》
2015年第7期23-25,28,共4页
Medical Journal of Chinese People’s Health
关键词
精神分裂症
个案管理
阳性症状
阴性症状
Schizophrenia
Case management
Positive symptoms
Negative symptoms
