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基于赋权的治疗耐药精神分裂症病例管理:为期三年的单一病例报告
Cong Wang1,2, Xianbin Li1,2, Jinsong Chen3
1Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Frontiers in psychiatry
|February 25, 2026
概括
一种以赋权为导向的病例管理方法改善了治疗耐药精神分裂症 (TRS) 患者的结果. 该干预措施在三年内增强了症状控制,日常自主性和社会功能.
科学领域:
- 精神病学是一个精神病学.
- 案件管理 案例管理
- 治疗精神分裂症 治疗精神分裂症
背景情况:
- 传统的精神分裂症治疗往往忽视了患者的自主权.
- 耐治疗精神分裂症 (TRS) 需要创新的管理策略.
- 基于赋权的方法可以提高患者的行动能力和结果.
研究的目的:
- 描述一个TRS患者的赋权导向病例管理方法的实施.
- 评估这种多学科干预的观察结果.
- 探索患者自主,症状管理和社会功能方面的改善.
主要方法:
- 一名34岁的TRS男性患者接受了为期三年的干预.
- 利用一个四维的赋权框架:病态治疗,心理认知,社会参与和家庭照顾.
- 员工进行了定量 (PANSS,HRSD,SDSS,CGI,MRSS,FAES II-CV) 和定性评估.
主要成果:
- 在PANSS (90至61) 和CGI严重性得分 (6至3) 中显著降低.
- 降低了MRSS依赖分级得分 (29到14分).
- 定性数据表明改善了药物坚持,自我监测,社会功能,自主性和家庭动态.
结论:
- 以赋权为导向的病例管理方法对TRS患者显示出有前途的结果.
- 初步发现表明,在减轻症状,改善功能和赋予患者权力方面有好处.
- 需要进一步的受控研究来确定因果关系和概括性.
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