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目的探讨社区服务模式下妇女三级心理保健的有效性。方法采用1∶1配对法将研究样本分成实验组和对照组,对实验组实施“六位一体”的社区服务模式,并分别进行针对性的发展性干预、征兆性干预和疾病性干预,通过对心理卫生指数、应付方式和生存质量三大类有效性指标(19项具体的子指标)的组内与组间比较决断干预的有效性。结果实验后,发展性干预有16项指标的组间与组内比较中的差异有统计学意义(P<0.05或P<0.001);征兆性干预有17项指标的组间与组内比较在0.05或0.01或0.001水平上存在显著差异;疾病性干预的组间与组内比较结果共同对12项指标的差异有统计学意义(P<0.01或P<0.001)。结论从整体上说,在“六位一体”的社区服务模式下,对妇女进行三级心理保健是极其有效的。
Objective To explore the effectiveness of three levels of psychological health care for women in community service mode. Methods The study sample was divided into experimental group and control group by 1: 1 pairing method, and the experimental group was implemented “Six in One” community service mode, and targeted development intervention, symptom intervention and disease intervention The validity of the intervention was determined by comparing the intra-and inter-group comparison of the three categories of validity indicators (19 specific sub-indicators) of mental health index, coping style and quality of life. Results After the experiment, there were 16 indicators of developmental intervention between groups and within the group, the difference was statistically significant (P <0.05 or P <0.001); the intervention group had 17 indicators of intra-and inter-group comparison 0.05 or 0.01 or 0.001, there was a significant difference between the two groups (P <0.01 or P <0.001). Conclusion Overall, in the “six in one” community service model, three levels of psychological care of women is extremely effective.