目的：建立慢性精神病患者康复分类软件评估体系,为功能评估、分类康复疗效分析、跟踪随访奠定基础。方法：系统分为专业和计算机编程设计两部分,主要原理是运用住院精神病患者日常生活能力评定量表(ADLPI)、住院精神病患者社会功能评定量表(SSPI)进行评定,由计算机实现自动分类、保存、对比等功能,并以报表的形式输出结果。结果：系统共有4个模块组成,客户端界面可直接进行量表评定输入,即可完成患者的社会功能评估和分类。通过3年的不断改进、升级和临床运用,实现全院6个病区联网。经检验计算机分类与临床经验分类结果有较高的一致性,Kappa 值=0.857。结论：康复分类软件实现了智能化评估、分类功能,便于跟踪随访；量化评分标准,减少人为的误差；为住院慢性精神病患者分类康复疗效的评估提供重要依据。%Objective:To establish a system of software evaluation for classification of chronic psychiatric rehabilitation, laying a foundation for functional evaluation, classification rehabilitation efficacy analysis, and follow-up. Methods:The system was divided into two parts: professional and computer programming design. The main principle was to use the activity of daily living scale for psy-chiatric inpatients (ADLPI), the scale of social-skills for psychiatric Inpatients (SSPI) to assess, and then it was implemented by computer to automatic classification, preservation, contrast, output in the form of the report. Results: The system was constituted with four modules, the scale can be directly input through client interface, thereby being completed assessment and classification of its social functions in each patient. The software system had been implemented to connected the Internet in the six wards, through three-year continuous improvement, upgrade, and clinical application. The result of classification of computer and clinical experience had a high consistency upon examination, Kappa value=0. 857. Conclusions: The rehabilitation classification software has realized the function of intelligent evaluation, classification, follow-up, quantitative criteria, and reduction of man-made errors. For the classification of the hospitalized chronic psychiatric patients, it provides an important basis for the rehabilitation efficacy assessment.
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