本文選題：殘疾人　切入點：心理康復(fù)　出處：《中國健康教育》2016年09期 　論文類型：期刊論文

【摘要】：目的探討PDCA循環(huán)管理法在社區(qū)殘疾人心理康復(fù)中的應(yīng)用效果。方法按照殘疾人管理標(biāo)準(zhǔn)選擇97例受試者,采用隨機(jī)分組的方法,其中49人為對照組,以常規(guī)方法進(jìn)行心理康復(fù);另48人按照PDCA循環(huán)方法對其開展心理康復(fù)管理,對比2組管理前后SCL-90得分,對資料進(jìn)行統(tǒng)計分析。結(jié)果 PDCA循環(huán)管理前后,軀體化[(2.19±0.50)vs(1.66±0.41)]、強(qiáng)迫[(1.98±0.44)vs(1.52±0.44)]、抑郁[(2.14±0.49)vs(1.52±0.60)]、焦慮[(1.76±0.59)vs(1.35±0.40)]、恐怖[(1.90±0.58)vs(1.56±0.47)]、人際敏感[(1.87±0.43)vs(1.67±0.44)]、偏執(zhí)[(1.75±0.48)vs(1.56±0.47)]、敵對[(1.59±0.63)vs(1.40±0.38)]和精神病性[(1.69±0.64)vs(1.50±0.42)]差異有統(tǒng)計學(xué)意義(P0.05)。對照組常規(guī)管理前后,軀體化、強(qiáng)迫、抑郁和恐怖4個因子差異有統(tǒng)計學(xué)意義(P0.05)。PDCA管理后與常規(guī)管理后,軀體化[(1.66±0.41)vs(1.91±0.63)]、強(qiáng)迫[(1.52±0.44)vs(1.76±0.58)]、抑郁[(1.52±0.60)vs(1.82±0.70)]、焦慮[(1.35±0.40)vs(1.78±0.65)]、敵對[(1.40±0.38)vs(1.58±0.62)]和精神病性[(1.50±0.42)vs(1.69±0.63)]6個因子差異均有統(tǒng)計學(xué)意義(P0.05)。結(jié)論應(yīng)用PDCA循環(huán)管理法,可以提高社區(qū)殘疾人心理康復(fù)質(zhì)量,規(guī)范殘疾人心理康復(fù)服務(wù)模式,提高社區(qū)衛(wèi)生服務(wù)中心工作人員的綜合素質(zhì)。
[Abstract]:Objective to investigate the effect of PDCA circulatory management on the psychological rehabilitation of disabled persons in community. Methods 97 subjects were selected according to the management standard of disabled persons, and 49 of them were divided into two groups randomly. The other 48 patients carried out psychological rehabilitation management according to the method of PDCA cycle, compared the scores of SCL-90 before and after management in two groups, and statistically analyzed the data. Results before and after PDCA cycle management, the data were statistically analyzed. Somatization [2.19 鹵0.50 vs 1.66 鹵0.41), compulsion [1.98 鹵0.44 vs 1.52 鹵0.44], depression [2.14 鹵0.49 vs 1.52 鹵0.60], anxiety [1.76 鹵0.59vs1.35 鹵0.40), phobia [1.90 鹵0.58 vs1.56 鹵0.47], interpersonal sensitivity [1.87 鹵0.43vs1.67 鹵0.44], paranoid [1.75 鹵0.48vs1.56 鹵0.47], hostility [1.59 鹵0.63vs1.40 鹵0.38] and psychosis [1.69 鹵0.64vs1.250 鹵0.250] were statistically significant before and after physical management. There were significant differences in the four factors of depression and phobia (1.52 鹵0.44 vs 1.76 鹵0.58), depression [1.52 鹵0.60 vs 1.82 鹵0.70), anxiety [1.35 鹵0.40 vs 1.78 鹵0.65], hostility [1.40 鹵0.38 vs 1.58 鹵0.62] and psychosis [1.50 鹵0.42 vs 1.69 鹵0.63], anxiety [1.35 鹵0.40 vs 1.78 鹵0.65], hostility [1.40 鹵0.38 vs 1.58 鹵0.62] and psychotic (1.50 鹵0.42) vs1.69 鹵0.63]. Conclusion there are significant differences in the six factors of depression (1.52 鹵0.60 vs 1.82 鹵0.70), hostility [1.40 鹵0.38 vs 1.58 鹵0.62] and psychosis [1.50 鹵0.42 vs 1.69 鹵0.63]. It can improve the quality of psychological rehabilitation of the disabled in the community, standardize the service mode of psychological rehabilitation of the disabled, and improve the comprehensive quality of the staff of the community health service center.
【作者單位】： 上海交通大學(xué)醫(yī)學(xué)院附屬新華醫(yī)院崇明分院;武漢市江岸區(qū)四唯街社區(qū)衛(wèi)生服務(wù)中心;
【基金】：武漢市公共衛(wèi)生及衛(wèi)生政策科研項目(WG14Z02)
【分類號】：R49

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