CAJ | 학술논문

目的：评估、分析罗定市重性精神疾病管理效果。方法选取罗定市重性精神疾病患者病情不稳定或基本稳定(危险性评估等级1～5级)的精神分裂症患者共125例作为研究对象，在实施重性精神疾病管理治疗工作前和后（3年）分别使用一般状况调查表、危险性评估量表及阳性和阴性综合征量表( PANSS）、社会功能缺陷筛选量表( SDSS）进行管理前后对比研究。结果实施管理3年时与管理前比较，125例患者的危险性评估等级下降（P＜0.01），实施前后PANSS、SDSS总分比较均有显著性差异（P＜0.01）。结论重性精神疾病管理治疗工作对控制精神疾病患者危险性行为，减少患者社会功能缺陷，改善患者精神病性症状，促进患者社会康复的效果是明显的，此项工作值得进一步发展和推广。
목적：평고、분석라정시중성정신질병관리효과。방법선취라정시중성정신질병환자병정불은정혹기본은정(위험성평고등급1～5급)적정신분렬증환자공125례작위연구대상，재실시중성정신질병관리치료공작전화후（3년）분별사용일반상황조사표、위험성평고량표급양성화음성종합정량표( PANSS）、사회공능결함사선량표( SDSS）진행관리전후대비연구。결과실시관리3년시여관리전비교，125례환자적위험성평고등급하강（P＜0.01），실시전후PANSS、SDSS총분비교균유현저성차이（P＜0.01）。결론중성정신질병관리치료공작대공제정신질병환자위험성행위，감소환자사회공능결함，개선환자정신병성증상，촉진환자사회강복적효과시명현적，차항공작치득진일보발전화추엄。
Objective To assess and analyze the effect of severe mental illness management. Methods 125 cases in severe mental illness management whose symptoms were unstablized or equal stablied(the level of risk assessment between 1 to 5) were investigated by using general information questionnaire' risk assessment scale'Positive and Negative Syndrome scale(PANSS)’Social Disability Screening schedule(SDSS). The data was compared between the baseline and 3 years after implementing of the severe mental illness management work. Results The level of risk assessment decreased(P < 0.01) while the total scores of PANSS and SDSS were all improved after implementing severe mental illness management(P<0.01). Conclusion Severe mental illness management plays an important role in controling the risk behavior'decreasing the disorder in social function' improving the symptoms'promoting the reveal of patients with severe mental illness. It deserves further popularization and application.