摘要
[目的]探讨社区综合康复模式对慢性精神分裂症患者的疗效。[方法]对80例社区慢性精神分裂症患者进行综合康复治疗(康复组),并用1∶1配对方法将另80例患者作为社区组。在综合康复前、康复6个月和12个月后,分别运用社会功能缺陷筛选量表(SDSS)、简明精神病量表(BPRS)、家庭负担会谈量表(FIS)、自知力与治疗态度问卷(ITAQ),对两组患者的功能状况、精神症状、家庭负担、自知力与治疗态度4个维度进行评分,并比较两组1年内的复发住院率。[结果]康复组患者第6个月、12个月时的SDSS、BPRS、FIS得分分别低于社区组患者,ITAQ得分高于社区组患者(P均﹤0.01)。康复组患者复发住院率为1.25%,社区组患者为15.00%,两组差异有统计学意义(P<0.01)。[结论]在社区对慢性精神分裂症患者开展系统的综合康复治疗,可明显减轻其社会功能缺陷,改善精神症状,减轻家庭照料负担,提高自知力与治疗依从性,降低复发住院率。
[ Objective ] To evaluate the effect of comprehensive intervention on patients with chro- nic schizophrenia. [ Methods] A group of 80 patients with chronic schizophrenia as rehabilitation group received comprehensive intervention for one year, and another 80 patients as control group （community group） using 1 ： 1 matching method accepted standard intervention. Both groups were assessed with the so- cial disability community of cases screening schedule （ SDSS ）, the brief psychiatric rating scale （ BPRS ）, family burden talks scale （FIS）, the insight and treatment attitude questionnaire （ITAQ） before interven- tion, and 6 and 12 months after intervention. Comparison was made in recurrence hospitalization rate within one year between the two groups. [ Results] The changes of the scales of SDSS, BPRS, FIS, and ITAQ in rehabilitation group were significantly lower than those in control groups at the time of 6 months and 12 months after the intervention （ P 〈 0.01 ）. The recurrence hospitalization rate of intervention group was 1.25%, whereas that of the control group was 15.00% I P 〈 0.01 ）. [ Conclusion ] To carry out the comprehensive intervention for patients with chronic schizophrenia in the community can significantly mitigate its social disability, improve mental symptoms, alleviate the burden of family care, raise insight and treatment compliance, and reduce the relapse rate of hospitalization.
出处
《上海预防医学》
CAS
2013年第3期113-116,共4页
Shanghai Journal of Preventive Medicine
基金
上海市浦东新区卫生局2008立项科研(PW2008A-18)
关键词
社区
综合康复
慢性精神分裂症
Community
Comprehensive intervention
Chronic schizophrenia
