摘要
目的:探讨居家康复、社区综合康复和日间机构康复3种不同社区康复模式对稳定期精神分裂症患者康复效果的影响。方法:选取社区稳定期精神分裂症患者200例,随机分成综合组、居家组各100例,在社区日间康复中心随机选取精神分裂症患者100例,构成机构组。居家组接受常规随访服务和康复指导,综合组接受团队综合干预服务,机构组在社区日间康复中心接受课程培训和康复活动。在干预前及干预的第3、6、9及12个月,分别运用阳性与阴性症状量表(PANSS)和社会功能筛选量表(SDSS)对康复效果进行评定。结果:干预后综合组与居家组、机构组与居家组的PANSS评分和SDSS评分差异有统计学意义(P均<0.05);综合组与机构组的PANSS评分和SDSS评分均仅在第3个月时差异有统计学意义(P均<0.05)。结论:相比于居家康复,社区综合康复和日间机构康复对进一步改善稳定期精神分裂症患者的精神症状和提升社会功能有更好的效果,对推动社区精神分裂症患者回归社会有积极作用。
Objective:To explore the effect of home-based rehabilitation,community-based rehabilitation and day institution rehabilitation in patients with stable schizophrenia.Method:200 patients with stable schizophrenia in community were randomly divided into comprehensive group and home group,100 cases each group.100 patients with schizophrenia were randomly selected in the community day rehabilitation center as the institutional group.The home group received conventional home-based follow-up service and rehabilitation guidance.The comprehensive group took part in the comprehensive intervention service provided by the team members.The institutional group accepted course training and rehabilitation activities provided by community day rehabilitation center.Before intervention and at the 3rd,6th,9th and 12th months of the intervention,the rehabilitation effect was assessed with the Positive and Negative Syndrome Scale(PANSS)and the Social Disability Screening Schedule(SDSS).Results:After intervention,there were significant differences in the PANSS and SDSS scores between the comprehensive group and the home group,the institutional group and the home group(all P<0.05).The PANSS score and SDSS score of the comprehensive group and the institutional group had statistical significance only at the 3rd month(all P<0.05).Conclusion:Community-based comprehensive rehabilitation and day institutional rehabilitation have a better effect on improving the mental symptoms and social function than home-based rehabilitation alone in the patients with stable schizophrenia,and it has a positive effect on promoting the community schizophrenic patients to return to society.
作者
梁哲
张燕华
胡晓龙
LIANG Zhe;ZHANG Yan-hua;HU Xiao-long(Shanghai Jiading Mental Health Center,Shanghai 201806,China)
出处
《临床精神医学杂志》
CAS
2021年第3期214-217,共4页
Journal of Clinical Psychiatry
基金
上海市嘉定区卫健委青年科研课题(2016-QN-02)。
关键词
精神分裂症
社区康复
居家康复
机构康复
社会功能
schizophrenia
community rehabilitation
home rehabilitation
institutional rehabilitation
social function
