中文摘要：

[目的]探讨Orem自护理论结合医护协同干预模式对稳定期精神疾病病人回归家庭后社区康复的影响。[方法]选择某社区服务中心从2014年6月—2015年6月建立档案的稳定期精神病病人136例为研究对象,按照档案号随机分为试验组（68例）和对照组（68例）。对照组采用医护电话回访和上门访视,试验组运用Orem自护理论结合医护协同模式进行管理,为期12个月。在干预前、干预6个月及12个月后分别采用重型精神疾病病人随访服务记录表、日常生活能力量表、生存质量简表（WHOQOL-BREF）对两组病人进行评估,并在6个月及12个月后收集复发率、再次住院率。[结果]干预6个月及12个月后试验组日常生活行为依从性、服药依从性均优于对照组（P〈0.05或P〈0.01）;试验组生存质量评分均高于对照组（P〈0.05或P〈0.01）,试验组工具性日常生活能力得分均低于对照组（P〈0.01）;干预12个月后试验组躯体活动能力得分低于对照组（P〈0.01）,试验组复发率、再次住院率低于对照组,但差异无统计学意义（P〉0.05）。[结论]Orem自护理论结合医护协同干预模式能明显提高精神病病人社区康复的效果,较常规管理模式能更好恢复日常生活能力及家庭功能。

英文摘要：

Objective：To probe into the influence of Orem self-care theory combined with collaborative care intervention model on community - based rehabilitation of mental illness patients in stable stage when they returned family. Methods：A total of 136 mental illness patients in stable stage from June 2014 to June 2015 in a community service center were randomly divided into experimental group and control group 68 cases in each. The patients in control group was treated with telephone interviews and home health care visits,and the patients in experimental group were treated with Orem self - care theory combined with collaborative care model for management for a period of 12 months. The patients of two groups were evaluated at the time before intervention, 6 months and 12 months after intervention by using the Follow up service for patients with severe mental illness, Activities of Daily Living Score（ ADD , and WHO Quality of Life BREF（ WHOQOL - BREF） , and recurrence rate and rehospitalization rates were collected after 6 months and 12 months. Results： After 6 months and 12 months of intervention,the patients？ daily life activities compliance and medication compliance in experi-mental group were better than those in control group（P〈0 . 05 or P〈0 . 01） ;the patients in experimental group had higher QOL scores（P〈0 . 05 or P〈0 . 01）;the instrumental activities of daily living score in experimental group was lower than that in control group（P〈0 . 01）; after 12 months of intervention, the physical activity score in experimental group was lower than that in control group（P〈0 . 01） ,and the recurrence rate and the re -hospitalization rate were all lower than those in control group（P〉0. 05）. Conclusion ： Orem self - care theory combined with collaborative care intervention model could significantly improve mental illness patients＇ community rehabilitation effects compared with conventional management model, and it could hel