CAJ | 학술논문

目的观察社区综合干预措施对精神分裂症患者出院后社会康复的疗效.方法采取随机抽样法,将284例出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.在入组时、半年末、一年末分别对两组患者采用社会功能缺陷筛选量表(SDSS)、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SDSS、PANSS评分差异无显著性;干预1年后,干预组SDSS评分(7.544±2.11)明显低于对照组(9.77±2.74),差异具有非常显著性(P<0.01).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(4..88±16.37、8.60±3.19、13.52±7.81、24.76±8.08),差异具有非常显著性(P<0.01).干预组复发率18.18%(26例)低于对照组34.75%(49例),差异有非常显著性X2=10.03,P<0.01).结论综合干预措施有利于出院后精神分裂症患者的社会康复.
목적 관찰사구종합간예조시대정신분렬증환자출원후사회강복적료효.방법 채취수궤추양법,장284례출원적정신분렬증환자수궤분위간예조(143례)화대조조(141례),대간예조진행건강교육、용약지도、기능훈련、가정치료등종합간예,지속1년;대조조부진행문진수방.재입조시、반년말、일년말분별대량조환자채용사회공능결함사선량표(SDSS)、양성여음성증상량표(PANSS)진행평고화비교.결과 입조시간예조여대조조적SDSS、PANSS평분차이무현저성;간예1년후,간예조SDSS평분(7.544±2.11)명현저우대조조(9.77±2.74),차이구유비상현저성(P<0.01).간예조PANSS평분(38.88±9.58)、양성량표평분(7.40±1.12)、음성량표평분(11.32±5.92),일반정신병리량표평분(20.16±5.19)균저우대조조(4..88±16.37、8.60±3.19、13.52±7.81、24.76±8.08),차이구유비상현저성(P<0.01).간예조복발솔18.18%(26례)저우대조조34.75%(49례),차이유비상현저성X2=10.03,P<0.01).결론 종합간예조시유리우출원후정신분렬증환자적사회강복.
Objective To investigate the effect of comprehensive intervention in community on schizophrenic social rehabilitation. Methods A total of 284 patients with schizophrenia were randomly divided into interven-tion group (n= 143) and control group (n= 141). The cases in intervention group were regularly provided men-tal health education, dose advice, skills training and family psychological intervention by psychiatrists for 1 year, while the cases in control group were only followed by clinic visits. All cases were assessed at baseline,half a year and end of the year by instruments including Social Disability Screening Schedule (SDSS), Positive And Negative Symptom Scale (PANSS). Results The scores of SDSS and PANSS had no significant differ-ences between two groups at baseline. At the end of the year, the score of SDSS (7. 542±2.11) in intervention group was significantly lower than that in control group (9. 77±2.74, P<0.01). The total score of PANSS (38. 882±9.58), the scores of positive subscale (7. 402±1.12), negative subscale (11. 322±5.92) and the gener-al psychopathology subscale (20.16±5. 19) in intervention group were also significantly lower than those in control group (46.88±16.37, 8. 602±3.19, 13. 522±7.81, 24.76±8.08, P<0.01). The relapse rates in inter-vention and control groups were 18.18% and 34.75% (X2=10.03,P<0.01) at end of the year and significant difference was found. Conclusion The comprehensive intervention is effective for social rehabilitation in schiz-ophrenia.