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目的探讨社区管理治疗对农村重性精神疾病患者的效果和价值。方法对2005年5月—2008年4月前来我院门诊求治及住院的且符合686项目免费用药条件的189例农村重性精神疾病患者进行为期18个月的社区管理治疗,评估其干预前后暴力级别的变化情况,同时采用社会功能缺陷筛选量表(SDSS)评估其干预前后社会功能的变化情况。结果社区管理治疗18个月后,189例农村重性精神疾病患者的暴力级别降低,SDSS评分改善,与干预前比较差异均有统计学意义(P<0.01)。结论社区管理治疗模式能有效减少农村重性精神疾病患者的暴力行为,改善其社会功能。
Objective To explore the effect and value of community management and treatment in patients with severe mental illness in rural areas. Methods A total of 189 cases of rural patients with severe mental illness who came to our hospital for treatment and hospitalization from May 2005 to April 2008 and meet the free medical conditions of 686 were enrolled in the 18-month community-based management and assessment before and after their intervention The level of violence and the Social Function Deficiency Screening Scale (SDSS) were used to evaluate the changes of social functions before and after intervention. Results After 18 months of community-based management, the level of violence in 189 patients with severe mental illness in rural areas decreased, SDSS scores improved, and there were significant differences between before and after intervention (P <0.01). Conclusion Community management and treatment model can effectively reduce the violence of patients with severe mental illness in rural areas and improve their social functions.