| Effect on psychosocial functions of schizophrenia by case management model of supportive employment |
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| DOI：10.3870/zgkf.2026.05.009 |
| EN KeyWords: supportive employment case management schizophrenia psychosocial function |
| Fund Project:2021年上海市静安区卫健委医学科研课题（No.2021GW01） |
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| View Counts: 350 |
| PDF Download Counts: 133 |
| EN Abstract: |
| 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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