A study on comprehensive health management strategies for co-occurring patients with schizophrenia and diabetes in mental welfare institutions
精神病福利院共病患者精神分裂症合并糖尿病的综合健康管理策略研究

摘要

目的 探究适用于精神病福利院精神分裂症合并糖尿病患者的综合健康管理策略及应用价值。方法 本研究选取精神病福利院2025年1-12月收治的精神分裂症合并糖尿病患者100例为研究对象，实施为期6个月的综合健康管理，涵盖多学科协作诊疗、用药优化、饮食运动干预、心理社会支持及并发症防控等措施。比较管理前后患者精神症状评分、血糖指标、治疗依从性及并发症发生率。结果 管理后患者PANSS评分、空腹血糖、餐后2h血糖及糖化血红蛋白水平均显著降低，治疗依从率提升，并发症总发生率降低，差异均有统计学意义（P<0.05）。结论 针对性综合健康管理可有效改善此类患者精神症状与血糖控制效果，提升治疗依从性，降低并发症风险，适配福利院照护场景，具有较高临床应用价值。

Abstract

Objective To explore the comprehensive health management strategies and their application value for patients with schizophrenia and diabetes in psychiatric welfare institutions.
Methods A total of 100 patients with schizophrenia and diabetes admitted to a psychiatric welfare institution from January to December 2025 were selected as the study subjects. A 6-month comprehensive health management program was implemented, covering multidisciplinary collaborative diagnosis and treatment, medication optimization, dietary and exercise interventions, psychosocial support, and complication prevention. The psychiatric symptom scores, blood glucose indicators, treatment adherence, and complication incidence were compared before and after management.
Results After management, the PANSS scores, fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin levels of the patients were significantly reduced. The treatment adherence rate increased, and the overall complication incidence decreased, with all differences being statistically significant (P<0.05).
Conclusion   Targeted comprehensive health management can effectively improve the psychiatric symptoms and blood glucose control in such patients, enhance treatment adherence, reduce the risk of complications, and is suitable for the care setting of welfare institutions, demonstrating high clinical application value.