摘要
目的:探讨家庭-社区-医院一体化管理对精神分裂症治疗效果的影响。方法:将100例出院精神分裂症患者随机分为管理组和常规组各50例,两组均采用抗精神病药物治疗,常规组实施常规精神科出院宣教和家庭护理,管理组则进行家庭-社区-医院一体化管理,有专职人员干预指导。采用社会功能缺陷筛选量表(SDSS)和康复状态量表(MRSS)进行评估,比较两组出院一年后服药依从性和复发率。结果:出院一年后管理组SDSS和MRSS评分低于常规组,服药依从性高,复发率低,社会功能改善好,差异均有统计学意义(P<0.01或P<0.05)。结论:家庭-社区-医院一体化管理能巩固治疗效果,有效改善患者社会功能,提高服药依从性,提高患者生活质量。
Objective： To explore the influence of Family- Community- Hospital integrated management on schizophrenia treatment effect. Methods： 100 cases of discharged patients with schizophrenia were randomly divided into the management group （50 cases）and the conventional group （50 cases） ,both groups received antipsycbotic medications, conventional group received conventional psychiatric discharged missionary and home care, the management group were given Family - Community - Hospital integrated management, full - time staff intervention guidance in the rehabilitation process. Social Disability Screening Schedule（SDSS） and rehabilitation of state variables（MRSS） table were used to assess ,compared two groups of medication ad- herence and relapse rate one year after discharge. Results：The scores of SDSS and MRSS of the management group was less than the conventional group, medication compliance of high, low recurrence rate, social function improved better, the differenceswere all statistically significant （ P 〈 0.01 or P 〈0. 05 ）. Conclusion ： Family - Community - Hospital integrated management can consolidate the treatment effect, effectively improve social function in patients and improve medication compliance, and improve quality of life.
出处
《中国民康医学》
2013年第12期15-16,87,共3页
Medical Journal of Chinese People’s Health
