CAJ | 학술논문

目的探讨社区综合管理干预对重性精神病患者防治康复效果。方法有针对性的选取重性精神病患者400例进行社区综合管理，采取药物干预、心理干预、工疗以及家庭护理等综合社区康复治疗，并对干预前后患者的健康状况、服药落实率、劳动能力和高风险肇事肇祸率进行对比分析。结果社区综合管理干预后，患者的病情改善率由16．50%上升为44.25%(P<0.05)；患者的服药落实率由31.50%升至88.50%(P<0.05)；患者的劳动力由干预前的12.75%上升为34.25%（P<0．05）；高风险肇事率由干预前的3.75%下降为0%(P<0．05)；干预后患者的生活质量显著高于干预前的水平(P<0．05)。结论社区综合管理干预能够有效改善和控制重性精神病患者的病情，对患者劳动能力和肇事肇祸率的改善起到了重要的作用。
목적탐토사구종합관리간예대중성정신병환자방치강복효과。방법유침대성적선취중성정신병환자400례진행사구종합관리，채취약물간예、심리간예、공료이급가정호리등종합사구강복치료，병대간예전후환자적건강상황、복약락실솔、노동능력화고풍험조사조화솔진행대비분석。결과사구종합관리간예후，환자적병정개선솔유16．50%상승위44.25%(P<0.05)；환자적복약락실솔유31.50%승지88.50%(P<0.05)；환자적노동력유간예전적12.75%상승위34.25%（P<0．05）；고풍험조사솔유간예전적3.75%하강위0%(P<0．05)；간예후환자적생활질량현저고우간예전적수평(P<0．05)。결론사구종합관리간예능구유효개선화공제중성정신병환자적병정，대환자노동능력화조사조화솔적개선기도료중요적작용。
Objective: To investigate the comprehensive management of community intervention on patients with serious mental il ness prevention and rehabilitation. Methods: Targeted selected 400 cases of psychiatric patients for drug intervention, psychological intervention, work treatment, home care and other integrated community rehabilitation, comparatively analyzed the health status, implementation rate of medication, ability to work and quality of life before and after the intervention. Results:the comprehensive management of communityintervention, patients to improve the rate increased from 16.50% to 44.25% (P<0.05); patients taking the implementation rate from 31.50%to 88.50% (P<0.05);patients with the rising of labor force from 12.75% before the intervention was 34.25% (P<0.05); high risk accidentrate from stem pre decreased to 0% (3.75% P<0.05);after the intervention, the quality of life of the patients was significantly higher than that before the intervention level (P<0.05). Conclusion: the comprehensive management of community intervention can improve and control the disease in patients with severe mental disease, an important role on improving the working ability of patients and theaccident rate.