摘要
目的探讨社会支持与康复训练综合干预对城市流浪精神病患者的疗效.方法选取该院2018年11月-2021年5月收治的50例城市流浪精神病患者为研究对象,按随机数字表法分为两组,每组25例.对照组采取常规护理,观察组采取社会支持与康复训练综合干预,均持续干预1个月.比较两组干预前后的简明精神病评定量表(BPRS)、Morning Side康复状态量表(MRSS)、个人和社会功能评定量表(PSP)、日常生活能力评定量表(ADL)及精神病患者生存质量问卷(QOL-P)评分.结果干预前,两组的BPRS、MRSS、PSP、ADL、QOL-P评分比较,组间差异无统计学意义(P>0.05);干预后,观察组的BPRS、MRSS、QOL-P评分均低于对照组,PSP、ADL评分均高于对照组,组间差异有统计学意义(P<0.05).结论社会支持与康复训练综合干预能有效减轻城市流浪精神病患者的精神症状及全身症状,提高其社会功能及日常生活能力,改善其生存质量.
Objective To explore the effect of a comprehensive intervention of social support and rehabilitation training on urban homeless mentally ill patients.Methods A total of 50 urban homeless mentally ill patients admitted to the hospital from November 2018 to May 2021 were selected as the research objects,and divided into two groups according to the random number table method,with 25 cases in each group.The control group received routine nursing care,while the observation group received comprehensive intervention of social support and rehabilitation training,both continued for 1 month.The scores of Brief Psychiatric Rating Scale(BPRS),Morning Side Rehabilitation Status Scale(MRSS),Personal and Social Function Rating Scale(PSP),and activities of daily living(ADL)were compared between the two groups before and after the intervention.Results Before the intervention,the BPRS,MRSS,PSP,ADL,and QOL–P scores of the two groups were compared,and there were no significant differences between the two groups(P>0.05);after intervention,the BPRS,MRSS,and QOL–P scores of the observation group were lower than those of the control group,while the PSP and ADL scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The comprehensive intervention of social support and rehabilitation training can effectively alleviate the mental symptoms and systemic symptoms of urban homeless mental patients,improve their social function and daily living ability,and improve their quality of life.
作者
蔡丽莉
刘峥荣
李镔
李洋
旷野
CAI Lili;LIU Zhengrong;LI Bin;LI Yang;KUANG Ye(Department of Rehabilitation,Guangzhou Civil Affairs Bureau Mental Hospital,Guangzhou Guangdong,510430,China)
出处
《反射疗法与康复医学》
2022年第1期122-125,共4页
Reflexology And Rehabilitation Medicine
关键词
流浪精神病
社会支持
康复训练
社会功能
日常生活能力
生存质量
Homeless psychosis
Social support
Rehabilitation training
Social function
Ability of daily living
Quality of life
作者简介
蔡丽莉(1981一),女,广东广州人,本科,副主任医师,研究方向:精神病学。
