中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2010年
6期
362-365
,共4页
王延祜%穆朝娟%柴新生%郑崇泉%张敬悬%翁正%唐济生
王延祜%穆朝娟%柴新生%鄭崇泉%張敬懸%翁正%唐濟生
왕연호%목조연%시신생%정숭천%장경현%옹정%당제생
精神分裂症%干预性研究%社区卫生服务
精神分裂癥%榦預性研究%社區衛生服務
정신분렬증%간예성연구%사구위생복무
Schizophrenia%Intervention studies%Community health services
目的 观察综合干预措施对精神分裂症患者出院后回归社区的疗效.方法 采取随机抽样法,将284例山院的精神分裂症患者随机分为干预组(143例)和对照组(141例),对干预组进行健康教育、用药指导、技能训练、家庭治疗等综合干预,持续1年;对照组仅进行门诊随访.在人组时、半年末、1年末分别对两组患者采用精神分裂症社会支持量表(SSRS)、阳性与阴性症状量表(PANSS)进行评估和比较.结果 入组时干预组与对照组的SSRS、PANSS评分差异无显著性意义(P＜0.05);干预1年后,干预组SSRS总分(32.85±12.18)、客观支持分(9.15±4.18)、主观支持分(16.92±7.34)、对支持的利用度(6.77±2.09)均高于对照组(31.05±8.35、7.77±4.36、13.46±7.87、6.23±2.12),差异具有显著性意义(P＜0.05).干预组PANSS评分(38.88±9.58)、阳性量表评分(7.40±1.12)、阴性量表评分(11.32±5.92),一般精神病理量表评分(20.16±5.19)均低于对照组(46.88±16.37、8.60±3.19、13.52±7.81、24.76±8.08),差异具有显著性意义(P＜0.01).干预组复发率18.18%(26例)低于对照组34.75%(49例),差异有显著性意义(χ2=10.03,P＜0.01).结论 综合干预措施有利于出院的精神分裂症患者早日回归社区.
目的 觀察綜閤榦預措施對精神分裂癥患者齣院後迴歸社區的療效.方法 採取隨機抽樣法,將284例山院的精神分裂癥患者隨機分為榦預組(143例)和對照組(141例),對榦預組進行健康教育、用藥指導、技能訓練、傢庭治療等綜閤榦預,持續1年;對照組僅進行門診隨訪.在人組時、半年末、1年末分彆對兩組患者採用精神分裂癥社會支持量錶(SSRS)、暘性與陰性癥狀量錶(PANSS)進行評估和比較.結果 入組時榦預組與對照組的SSRS、PANSS評分差異無顯著性意義(P＜0.05);榦預1年後,榦預組SSRS總分(32.85±12.18)、客觀支持分(9.15±4.18)、主觀支持分(16.92±7.34)、對支持的利用度(6.77±2.09)均高于對照組(31.05±8.35、7.77±4.36、13.46±7.87、6.23±2.12),差異具有顯著性意義(P＜0.05).榦預組PANSS評分(38.88±9.58)、暘性量錶評分(7.40±1.12)、陰性量錶評分(11.32±5.92),一般精神病理量錶評分(20.16±5.19)均低于對照組(46.88±16.37、8.60±3.19、13.52±7.81、24.76±8.08),差異具有顯著性意義(P＜0.01).榦預組複髮率18.18%(26例)低于對照組34.75%(49例),差異有顯著性意義(χ2=10.03,P＜0.01).結論 綜閤榦預措施有利于齣院的精神分裂癥患者早日迴歸社區.
목적 관찰종합간예조시대정신분렬증환자출원후회귀사구적료효.방법 채취수궤추양법,장284례산원적정신분렬증환자수궤분위간예조(143례)화대조조(141례),대간예조진행건강교육、용약지도、기능훈련、가정치료등종합간예,지속1년;대조조부진행문진수방.재인조시、반년말、1년말분별대량조환자채용정신분렬증사회지지량표(SSRS)、양성여음성증상량표(PANSS)진행평고화비교.결과 입조시간예조여대조조적SSRS、PANSS평분차이무현저성의의(P＜0.05);간예1년후,간예조SSRS총분(32.85±12.18)、객관지지분(9.15±4.18)、주관지지분(16.92±7.34)、대지지적이용도(6.77±2.09)균고우대조조(31.05±8.35、7.77±4.36、13.46±7.87、6.23±2.12),차이구유현저성의의(P＜0.05).간예조PANSS평분(38.88±9.58)、양성량표평분(7.40±1.12)、음성량표평분(11.32±5.92),일반정신병리량표평분(20.16±5.19)균저우대조조(46.88±16.37、8.60±3.19、13.52±7.81、24.76±8.08),차이구유현저성의의(P＜0.01).간예조복발솔18.18%(26례)저우대조조34.75%(49례),차이유현저성의의(χ2=10.03,P＜0.01).결론 종합간예조시유리우출원적정신분렬증환자조일회귀사구.
Objective To investigate the effect of synthetic intervention on community re-entry of outpatients with schizophrenia. Methods Two hundred and eighty-four patients were randomly assigned to the intervention group (n = 143 ) and the control group (n = 141 ). The participants in the intervention group received mental health education, medication consultation, skill training and family-based psychological intervention for 1 year. The control group was followed up through clinic visits. At baseline,half a year and the end of the year,all the subjects completed the Social Support Rating Scale (SSRS) and the Positive and Negative Syndrome Scale (PANSS). Results The scores of SSRS and PANSS at baseline were not significantly different between the two groups. At the end of the year,the score of SSRS (32. 85 ± 12. 18) ,the objective support subscale (9. 15± 4. 18 ) ,the subjective support subscale ( 16. 92±7. 34) and the support utility subscale (6. 77±2. 09 ) in the intervention group were significantly increased when compared with the control group ( 31.05±8. 35,7. 77±4. 36,13.46±7.87,6. 23±2. 12, all P < 0.05 ). The score of PANSS (38. 88 ±9. 58 ), the positive subseale (7.40 ±1.12 ), the negative subscale ( 11. 32±5.92 ) and the general psychopathology subscale (20. 16±5. 19 ) in the intervention group showed significant difference with the control group (46. 88 ±16. 37,8.60 ±3. 19,13.52±7. 81,24. 76±8. 08 ,all P <0. 01 ). At the end of the year,the relapse of psychotic symptoms in the intervention and the control group was 18. 18% and 34. 75% ,respectively ( χ2 = 10. 03, P < 0. 01 ). Conclusion The study results suggest that synthetic intervention could be effective for schizophrenic outpatients in community re-entry.
