芷江西社区肢体残疾人心理健康影响因素调查及干预研究

发布时间：2018-02-20 05:50

本文关键词： 社区肢体残疾人心理健康干预研究　出处：《复旦大学》2011年硕士论文　论文类型：学位论文

【摘要】：研究目的：通过本课题对芷江西社区肢体残疾人心理健康影响因素的分析研究,探索从社区卫生服务层面,通过加强社会支持力度来增强此类人群心理健康的社区综合性干预方案,为进一步促进社区肢体残疾人康复提供依据和建议。研究内容： 1、调查芷江西社区肢体残疾人的心理健康状况(用症状自评量表)；调查上述人群的社会支持情况(用社会支持评定量表)；调查上述人群的一般情况(用上海市统一制定的肢体残疾人健康档案调查问卷表) 2、分析社区肢残人的心理健康的各种影响因素；提出从社会支持角度来加强上述人群心理健康的建议； 3、根据年龄,残疾等级和日常生活能力随机分层抽取部分目标人群进行加强社会支持措施的干预方案；并设立对照组 4、干预后分析及反馈,并具体实施和推广应用研究方法：运用定量调查研究方法,包括收集现有资料、现场调查等。调查工具：应用社会支持量表(SSRS)、90项症状自评量表(SCL-90)两种量表进行干预前后对照分析、评价主要结论： 1、社区肢体残疾人社会支持度普遍较低,心理健康状况问题较为突出 2、社区肢体残疾人的社会支持情况与心理健康状况存在相关性(社会支持度越差,心理健康状况也越差)。 3、婚姻状况、就业状况、文化程度的状况社区肢体残疾人社会支持状况的影响较大 4、不同年龄段的残疾人的SSRS量表得分是有所不同的。其中以40-60岁的残疾人得分最低 5、社会支持综合性干预方案实施后,上述人群的社会支持及心理健康状况明显改善,社会方面的生活质量显著提高；继续随访发现效果能够持续。 6、社会支持综合性干预方案的干预策略在社区实施具有可行性。 7、应加大与街道和助残员的沟通,协作,增加对社区肢体残疾人心理保健的人力、物力资源投入,建立对此类人群社会支持的预防保健组织网络
[Abstract]:Objectives of the study:. Through the analysis and research on the influencing factors of mental health of the disabled in the community of Jiangxi province, this paper explores the community comprehensive intervention plan to strengthen the mental health of this kind of people through strengthening the social support from the community health service level. To further promote the rehabilitation of physical disability in the community to provide the basis and advice. Research content:. 1. To investigate the mental health status of the limb disabled persons in the community (using the symptom Checklist (SCL-90); to investigate the social support status of the above population (using the Social support rating scale (SSS); to investigate the general situation of the above population (using Shanghai Tong Tong). A questionnaire on the Health Archives of Persons with physical Disabilities). (2) analyze the various influencing factors of the mental health of the disabled people in the community, and put forward some suggestions to strengthen the mental health of the above groups from the point of view of social support. 3. According to age, disability level and ability of daily life, a part of target population was randomly selected for intervention to strengthen social support measures, and a control group was set up. 4. Analyze and feedback after intervention, and implement and popularize it. Research methods:. Use quantitative investigation methods, including collection of existing data, field investigation, etc. Survey tools:. The SCL-90 symptom Checklist (SCL-90) was used to analyze and evaluate the SCL-90 before and after intervention by using the Social support scale (SSRS) and 90 symptom Checklist-90 (SCL-90). Main conclusions:. 1. The degree of social support is generally low and the problem of mental health is more prominent in the community. 2. There is a correlation between the social support and the mental health status of the physically disabled in the community (the worse the social support is, the worse the mental health status is. (3) marital status, employment status, and education status have a greater impact on the status of social support for persons with physical disabilities in the community. 4. The scores of SSRS scale are different among different age groups. The disabled people aged 40-60 have the lowest score. 5. After the comprehensive intervention program of social support was implemented, the social support and mental health status of the above groups were obviously improved, and the quality of life in the social aspect was improved significantly, and the follow-up showed that the effect could be sustained. 6. The intervention strategy of social support comprehensive intervention scheme is feasible in community. 7. We should increase communication with the street and disabled persons, cooperate with them, increase the input of human and material resources to the mental health of the physically disabled in the community, and establish a network of preventive health care organizations for the social support of this group.
【学位授予单位】：复旦大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R395

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