期刊文献+

社区精神分裂症患者应用重返社会程式训练的一年随访研究 被引量:58

Improvements of symptom and social function in outpatients with schizophrenia receiving community re-entry program:a 1-year follow-up study
原文传递
导出
摘要 目的 探讨重返社会技能训练程式对于社区精神分裂症患者康复的作用。方法 将10 0例非急性期的社区精神分裂症患者随机分为技能训练组 (以下简称训练组 ;5 0例 ,其中脱落 5例 )和对照组 (5 0例 ,其中脱落 2例 )。在药物治疗的同时 ,对训练组进行重返社会技能训练 ,对照组接受传统精神康复干预 ,对两组患者随访 1年。采用阳性和阴性症状量表 (PANSS)和MorningSide康复状态量表 (MRSS) ,在干预前、随访第 1,3,6 ,9,12个月时对患者进行评估 ;同时监测病情复发率、(再 )住院率、(再 )就业率。结果  (1)入组时与随访末次评分减分值的比较 ,训练组PANSS总分 [(6 80±11 30 )分 ]、阳性量表 [(0 5 1± 3 36 )分 ]、阴性量表 [(3 14± 5 2 7)分 ]、一般精神病理量表 [(3 14±5 11)分 ]和MRSS总分 [(13 92± 2 1 0 8)分 ]均优于对照组 [分别为 (- 4 33± 18 35 )分、(- 2 93± 7 16 )分、(- 1 2 3± 7 2 7)分、(- 0 16± 7 97)分和 (- 10 0 9± 30 93)分 ],P <0 0 5~ 0 0 1;(2 )训练组的病情复发率 (2 0 % )和 (再 )住院率 (2 % )低于对照组 (分别为 4 0 %和 19% ;P <0 0 5 ) ;(3)训练组的 (再 )就业率(5 1% )高于对照组 (2 3% ;P <0 0 1)。结论 在药物治疗的基础上 ,重返社会程式可以有效地帮? Objective The study was to examine the effects of community re-entry program on relieving the symptoms and improving the social functions in schizophrenic outpatients. Methods A total of 100 outpatients with schizophrenia was randomly assigned into two groups,the patients in study group were given scheduled skills training course,the others were given traditional rehabilitation training as control. All the subjects were followed up for one year,and assessed with the Positive and Negative Syndrome Scale (PANSS) and Morningside Rehabilitation Status Scale (MRSS) before the study and at the 1st,3rd,6th,9th and 12th month,respectively. Results Ninety-three subjects completed the 1-year follow-up. According to the reduction scores of PANSS,positive,negative,general psychopathology subscale and MRSS,the study group demonstrated better improvement than the control group (6.80±11.30 vs. -4.33±18.35,0.51±3.36 vs. -2.93±7.16 ,3.14±5.27 vs. -1.23±7.27,3.14±5.11 vs. -0.16±7.97,13.92±21.08 vs. -10.09±30.93,respectively; P<0.05-0.01). The rates of relapse and rehospitalization were significantly lower (20% vs. 40%,2% vs. 19%; P<0.05), while the re-employment rate significantly higher in study group (51% vs. 23%, P<0.01) than that in control group. Conclusion Combing with pharmacotherapy,the community re-entry program is helpful in relieving symptoms and improving social function in outpatients with schizophrenia.
出处 《中华精神科杂志》 CAS CSCD 北大核心 2004年第1期37-40,共4页 Chinese Journal of Psychiatry
基金 北京重点扶持学科基金资助项目 [(1999)卫科扶字10号 ] 首都医学发展科研基金资助项目 (ZD199816) 首都医学发展科研基金资助项目 (首都TS19980 1)
关键词 社区 精神分裂症 重返社会程式训练 社区精神病学 生物学 治疗 Schizophrenia Community psychiatry Rehabilitation Employment Follow-up studies
  • 相关文献

参考文献8

二级参考文献28

  • 1张明园,沈明华,王龙林,张晔,徐涵生,柴新生,俞勤奋.精神分裂症的家庭教育:——(2)病人的效果[J].上海精神医学,1993,5(1):59-62. 被引量:101
  • 2王善澄,周天辛,张明园,林镇祥,饶顺曾,张立君,任国倩,陈银娣,李文杰,张少平.精神分裂症的社区家庭干预[J].中国康复,1993,8(2):57-61. 被引量:13
  • 3翁永振,张庚,刘丽,何维,张春莲,刘建设.慢性精神分裂症所致社会交往技能缺陷的康复治疗[J].中国康复,1993,8(2):68-71. 被引量:14
  • 4张明园.精神医学[J].中华医学杂志,1993,73(12):739-740. 被引量:4
  • 5林勇强,张献共,洪晓虹,郑少雄,李振国.501例社区中精神分裂症患者现状分析[J].临床精神医学杂志,1996,6(4):204-205. 被引量:13
  • 6刘华清 张培琰 等.精神分裂症的自知力:“自知力与治疗态度问卷”的应用[J].上海精神医学,1995,7(3):158-161.
  • 7Peterson R. What are the needs of chronic mental patients? Schizophr Bull, 1982,8(4):610-616.
  • 8T.E.Smith, J.W.Hull, S.J.Mackain,et al. Training hospitalized patients with schizophrenia in community reintegration skills.Psychiatric Services, 1996,47(10): 1099-1103.
  • 9J.R.Bustillo, J.Lauriello, W.P.Horan, et al. The psychosocial treatment of schizophrenia: an update. Am J Psychiatry, 2001,158(2): 163-175.
  • 10A.Kopelowicz, R.P.Liberman, J.Mintz,et al. Comparison of efficacy of social skills training for deficit and nondeficit negative symptoms in schizophrenia. Am J Psychiatry,1997,154(3):424-425.

共引文献347

同被引文献492

引证文献58

二级引证文献372

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部