| 庄晓伟,陈玉明,黄恬蕊,郑运洪,张芷雯.支持性就业个案管理模式对社区精神分裂症患者心理社交功能的干预效果[J].中国康复,2026,41(5):303-309 |
| 支持性就业个案管理模式对社区精神分裂症患者心理社交功能的干预效果 |
| Effect on psychosocial functions of schizophrenia by case management model of supportive employment |
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| DOI：10.3870/zgkf.2026.05.009 |
| 中文关键词: 支持性就业 个案管理 精神分裂症 心理社交功能 |
| 英文关键词: supportive employment case management schizophrenia psychosocial function |
| 基金项目:2021年上海市静安区卫健委医学科研课题（No.2021GW01） |
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| 中文摘要: |
| 目的：探索支持性就业“3+6+13”个案管理模式对社区精神分裂症患者心理社交功能的干预效果，为促进患者就业提供参考。方法：随机选取5家社区康复机构中的52例精神分裂症患者作为研究对象，随机分为干预组和对照组各26例，对照组接受常规社区康复，干预组在对照组的基础上接受支持性就业“3+6+13”个案管理，对比2组患者1年后的精神状况、心理效应和心理社交功能水平。结果：干预1年后，干预组患者的领悟能力、接受疾病、睡眠、家务活动、学习新知识及技能、社会人际交往能力和非适应性行为优于对照组（P＜0.05）；2组患者的核心自我评价量表（CSES）与自尊量表（RSES）评分较干预前升高，干预组高于对照组（P＜0.05）；2组心理社交功能评估表中的社交技巧、人际关系与社会适应能力3个维度的评分均较干预前升高（P＜0.05），干预组高于对照组（P＜0.05）。其中社交技巧维度中的眼神接触、社交距离、思想表达的评分较干预前升高（P＜0.05），干预组高于对照组（P＜0.05）；人际关系维度中的与工作人员接触及与人共处的评分较干预前升高（P＜0.05），干预组高于对照组（P＜0.05）；社会适应能力维度中的参与社区活动动机、使用交通工具、使用电话和使用路标的评分较干预前升高（P＜0.05），干预组高于对照组（P＜0.05）。结论：支持性就业“3+6+13”个案管理模式能够改善社区精神分裂症患者的心理社交功能，有利于患者回归社会。 |
| 英文摘要: |
| Objective: To explore the intervention effect of the "3+6+13" case management model for supportive employment on the mental status and psychosocial function of community schizophrenia patients, and to provide reference for promoting patient employment. Methods: Totally, 52 community schizophrenia patients were selected as the research subjects and randomly divided into an intervention group and a control group with 26 cases each. The control group received routine community rehabilitation, and the intervention group received a supportive employment "3+6+13" case management model on the basis of the control group. The mental status, psychological effects, and psychological social function levels were compared between the two groups one year later. Results: After one year of intervention, patients in the intervention group exhibited superior comprehension ability, acceptance of illness, sleep quality, household activities, acquisition of new knowledge and skills, social interpersonal communication ability, and non-adaptive behaviors compared to the control group (P<0.05). The scores of the core self-evaluation scale (CSES) and the respect for self-esteem scale (RSES) increased in the patients after intervention, with the score of intervention group being higher than that in the control group (P<0.05). The scores in the three dimensions of social skills, interpersonal relationships, and social adaptability in the psychosocial function assessment scale after intervention increased compared to those before intervention (P<0.05), with the scores of inter-vention group being higher than those in the control group (P<0.05). Specifically, in the social skills dimension, scores for eye contact, social distance, and thought expression after intervention increased compared to those before intervention (P<0.05), with the scores of intervention group being higher than the control group (P<0.05). In the interpersonal relationships dimension, scores for contact with staff and coexistence with others after intervention increased compared to those before intervention (P<0.05), with the score of intervention group being higher than that in the control group (P<0.05). In the social adaptability dimension, scores for motivation to participate in community activities, use of transportation, use of telephones, and use of landmarks after intervention increased compared to those before intervention (P<0.05), with the score of intervention group being higher than that in the control group. Conclusion: The "3+6+13" case management model of supportive employment can improve some of the psychological social functions of community schizophrenia patients, which is beneficial for their return to society. |
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