PDCA循环在社区残疾人心理康复中的应用

发布时间：2018-03-16 20:26

本文选题：残疾人　切入点：心理康复　出处：《中国健康教育》2016年09期 　论文类型：期刊论文

【摘要】：目的探讨PDCA循环管理法在社区残疾人心理康复中的应用效果。方法按照残疾人管理标准选择97例受试者,采用随机分组的方法,其中49人为对照组,以常规方法进行心理康复;另48人按照PDCA循环方法对其开展心理康复管理,对比2组管理前后SCL-90得分,对资料进行统计分析。结果 PDCA循环管理前后,躯体化[(2.19±0.50)vs(1.66±0.41)]、强迫[(1.98±0.44)vs(1.52±0.44)]、抑郁[(2.14±0.49)vs(1.52±0.60)]、焦虑[(1.76±0.59)vs(1.35±0.40)]、恐怖[(1.90±0.58)vs(1.56±0.47)]、人际敏感[(1.87±0.43)vs(1.67±0.44)]、偏执[(1.75±0.48)vs(1.56±0.47)]、敌对[(1.59±0.63)vs(1.40±0.38)]和精神病性[(1.69±0.64)vs(1.50±0.42)]差异有统计学意义(P0.05)。对照组常规管理前后,躯体化、强迫、抑郁和恐怖4个因子差异有统计学意义(P0.05)。PDCA管理后与常规管理后,躯体化[(1.66±0.41)vs(1.91±0.63)]、强迫[(1.52±0.44)vs(1.76±0.58)]、抑郁[(1.52±0.60)vs(1.82±0.70)]、焦虑[(1.35±0.40)vs(1.78±0.65)]、敌对[(1.40±0.38)vs(1.58±0.62)]和精神病性[(1.50±0.42)vs(1.69±0.63)]6个因子差异均有统计学意义(P0.05)。结论应用PDCA循环管理法,可以提高社区残疾人心理康复质量,规范残疾人心理康复服务模式,提高社区卫生服务中心工作人员的综合素质。
[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 卤0.50 vs 1.66 卤0.41), compulsion [1.98 卤0.44 vs 1.52 卤0.44], depression [2.14 卤0.49 vs 1.52 卤0.60], anxiety [1.76 卤0.59vs1.35 卤0.40), phobia [1.90 卤0.58 vs1.56 卤0.47], interpersonal sensitivity [1.87 卤0.43vs1.67 卤0.44], paranoid [1.75 卤0.48vs1.56 卤0.47], hostility [1.59 卤0.63vs1.40 卤0.38] and psychosis [1.69 卤0.64vs1.250 卤0.250] were statistically significant before and after physical management. There were significant differences in the four factors of depression and phobia (1.52 卤0.44 vs 1.76 卤0.58), depression [1.52 卤0.60 vs 1.82 卤0.70), anxiety [1.35 卤0.40 vs 1.78 卤0.65], hostility [1.40 卤0.38 vs 1.58 卤0.62] and psychosis [1.50 卤0.42 vs 1.69 卤0.63], anxiety [1.35 卤0.40 vs 1.78 卤0.65], hostility [1.40 卤0.38 vs 1.58 卤0.62] and psychotic (1.50 卤0.42) vs1.69 卤0.63]. Conclusion there are significant differences in the six factors of depression (1.52 卤0.60 vs 1.82 卤0.70), hostility [1.40 卤0.38 vs 1.58 卤0.62] and psychosis [1.50 卤0.42 vs 1.69 卤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.
【作者单位】：上海交通大学医学院附属新华医院崇明分院;武汉市江岸区四唯街社区卫生服务中心;
【基金】：武汉市公共卫生及卫生政策科研项目(WG14Z02)
【分类号】：R49

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