本文已被：浏览 3564次 下载 0次
中文摘要: 目的 探讨个体化时间管理模式在首发精神病患者中改善生活质量的效果，并观察患者生活质量的影响因素。方法 选取武威市第二人民医院2018年1月—2019年12月的首发精神病患者共60例，将患者随机分为对照组和观察组各30例，对照组采用常规日常生活自理能力干预模式，观察组在对照组的基础上实施个体化时间管理模式，分析干预前后的日常生活能力量表（ADL）、Zung焦虑自评量表（SAS）、Zung抑郁自评量表（SDS）、社会支持评定量表（SSRS）、世界卫生组织生活质量测定量表简表（WHOQOL-BRIEF）评分。并采用logistics回归分析患者的生活质量影响因素。结果 两组患者ADL、SAS、SDS、SSRS、WHOQOL-BRIEF评分对比无统计学意义（P＞0.05），在干预后两组患者的ADL、SSRS、WHOQOL-BRIEF评分升高（P﹤0.05），SAS、SDS降低（P﹤0.05），观察组干预后的ADL、SAS、SDS、SSRS、WHOQOL-BRIEF评分较对照组改善更为明显，经对比差异具有显著的统计学意义（P﹤0.05）。多因素logistics回归分析后表明，时间管理为生活质量改善的保护因素（OR=0.102，P＜0.05）。结论 个体化时间管理可有效的提高首发精神病患者的生活质量，改善了患者的不良情绪，在临床中运用个体化时间管理对提高患者的生活质量具有直观影响。
Abstract:OBJECTIVE To explore the effect of individualized time management model on improving quality of life in first-episode patients, and to observe the factors influencing patients’ quality of life. METHODS A total of 60 first-episode psychiatric patients were enrolled in target hospital from January 2018 to December 2019. The patients were randomly divided into the control group and the observation group, 30 cases each. The control group used the routine daily living self-care ability intervention mode, and the observation group was in the control group. On the basis of the implementation of individualized time management model, analysis of the Activity Daily Living Scale (ADL) before and after the intervention, Zung self-rating anxiety scale (SAS), Zung depression self-rating scale ( Self-rating depression scale (SDS), Social support rate scale (SSRS) and World Health Organization Quality of Life Scale-Brief Form Questionnaire (WHOQOL-BRIEF) score. Logistic regression was used to analyze the factors influencing the quality of life of patients. RESULTS There were no significant differences in ADL, SAS, SDS, SSRS and WHOQOL-BRIEF scores between these two groups (P＞0.05). After the intervention, the ADL, SSRS, and WHOQOL-BRIEF scores of these two groups were increased(P＜0.05), SAS and SDS was decreased (P＜0.05). The ADL, SAS, SDS, SSRS and WHOQOL-BRIEF scores of the observation group were significantly improved compared with the control group. The difference was statistically significant(P＜0.05). Multivariate logistic regression analysis showed that time management was a protective factor for quality of life improvement (OR=0.102, P＜0.05). CONCLUSION Individualized time management could effectively improve the quality of life of first-episode psychiatric patients and improve the patient’s bad mood. The use of individualized time management in clinical practice had a direct impact on improving patients’ quality of life.
keywords: first episode of psychosis individualized time management quality of life daily living ability anxiety depression
文章编号：3201912041 中图分类号：R1-9 文献标志码：
基金项目:
| 作者 | 单位 |
| 戴新萍① |
| Author Name | Affiliation |
引用文本：