社会支持对会所模式下社区精神分裂症患者总体幸福感和康复的影响

支倩娜; 吴惠娟; 骆名进

doi:10.16766/j.cnki.issn.1674-4152.004049

社会支持对会所模式下社区精神分裂症患者总体幸福感和康复的影响

doi: 10.16766/j.cnki.issn.1674-4152.004049

浙江中医药大学浙江大学医学院附属精神卫生中心/杭州市第七人民医院精神五科，浙江杭州 310013

基金项目:

浙江省医药卫生科技计划项目 2020PY062

杭州市卫生科技计划重点项目 0020190744

详细信息

通讯作者:
吴惠娟，E-mail：ww_whj@126.com

中图分类号: R749.3
计量
- 文章访问数: 18
- HTML全文浏览量: 15
- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2025-01-25
- 网络出版日期: 2025-09-04

The influence of social support on the well-being and rehabilitation of community-dwelling schizophrenic patients under the Clubhouse model

The Fifth Department of Psychiatry, Affiliated Mental Health Center & Hangzhou Seventh People ' s Hospital, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310013, China

摘要

摘要: 目的探讨社区精神分裂症患者在会所模式下社会支持对其整体幸福感和康复的影响，寻求为促进社区精神分裂症患者快速康复、重返社会提供有效依据。方法于2023年8月选择在杭州市下城区8个仁爱家园工疗站接诊的200例精神分裂症患者。根据康复模式不同将患者分为2组，干预组100例为仁爱家园工疗站开展国际会所模式的患者，且均为自愿参与并经常使用会所提供的多元化服务。对照组100例为该工疗站接受常规的康复服务的患者。比较2组患者社会支持量表、总体幸福感量表(GWB)、自尊量表(SES)、社会功能缺陷筛选量表(SDSS)评分，分析患者康复效果。结果干预组与对照组社会支持量表总分及3个维度、GWB和SDSS得分差异均无统计学意义(P>0.05)，组间SES得分比较差异有统计学意义(t=8.372，P < 0.001)。相关性分析显示，会所模式下社会支持与总体幸福感(r=0.179，P < 0.05)和社会功能(r=-0.209，P < 0.05)具有相关性。结论会所模式有效增强了社区精神分裂症患者的社会支持，这与他们的整体幸福感和社会功能的提升密切相关。因此社会支持所起的积极导向作用必须给予重视，整体完善社会支持体系，对患者的康复预后具有重要意义。
- 精神分裂症 /
- 社会支持 /
- 会所模式 /
- 总体幸福感 /
- 社会功能
Abstract: Objective To explore the impact of social support on the overall well-being and rehabilitation of individuals with schizophrenia living in the community, within the framework of the Clubhouse model. The study aims to provide effective evidence to support more effective recovery and reintegration strategies. Methods In August 2023, 200 patients with schizophrenia from eight Ren ' ai Home workshop stations in Xiacheng District, Hangzhou, were selected. The patients were divided into two groups according to different rehabilitation models. The intervention group consisted of 100 patients from the Ren ' ai Home workshop stations who voluntarily and actively participated in the international Clubhouse model and its associated services. The control group included 100 patients from the same workshop stations who received conventional rehabilitation services. The scores of the social support scale, general well-being scale (GWB), self-esteem scale (SES), and social dysfunction screening scale (SDSS) of the two groups of patients were compared to analyze the rehabilitation effect. Results There was no statistically significant difference in the total score of the Social Support Scale, the scores of the three dimensions, GWB and SDSS between the intervention group and the control group (P>0.05), while there was a statistically significant difference in the SES score between the groups (t=8.372, P < 0.001). Correlation analysis showed that under the club model, social support was correlated with overall well-being (r=0.179, P < 0.05) and social function (r=-0.209, P < 0.05). Conclusion The Clubhouse model effectively enhances the social support among community-dwelling individuals with schizophrenia, which is closely related to improvement in their general well-being and social function. Emphasizing the positive role of social support and strengthening support system are crucial for patient recovery and prognosis.
- Schizophrenia /
- Social support /
- Clubhouse model /
- General well-being /
- Social function

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表 1 2组精神分裂症患者各量表评分比较(x ±s，分)

Table 1. Comparison of the scores of each scale between the two groups of schizophrenia patients (x ±s, points)

组别	例数	客观支持	主观支持	对支持的利用度	社会支持总分	GWB	SES	SDSS
干预组	100	6.96±1.96	16.04±5.13	8.13±2.46	31.13±7.58	54.51±14.89	31.36±4.48	8.02±5.95
对照组	100	7.21±1.58	16.94±5.10	8.72±2.46	32.87±7.11	53.63±14.28	26.10±4.40	8.30±2.83
t值		0.991	1.243	1.691	1.673	0.426	8.372	0.424
P值		0.323	0.215	0.092	0.096	0.670	< 0.001	0.672

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表 2 社会支持量表与GWB、SES和SDSS得分的相关分析(r值)

Table 2. Correlation analysis between the social support scale and GWB, SES, and SDSS scores (r value)

项目	GWB	SES	SDSS
客观支持	0.192^a	0.052	-0.032
主观支持	0.190^a	-0.077	-0.179^a
对支持的利用度	0.003	-0.107	-0.229^a
社会支持总分	0.179^a	-0.077	-0.209^a
注：^aP < 0.05。

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