CAJ | 학술논문

目的探讨社区综合康复对精神分裂症患者总体疗效的影响。方法4个社区中精神分裂症患者100例分为干预组(n=50)和对照组(n=50)。干预组行社区综合康复干预治疗6个月。所有患者随访1年。两组治疗前后采用阳性和阴性症状量表(PANSS)、个人和社会功能量表(PSP)、生活质量综合评定问卷(GQOLI-74)进行评定。结果两组完成研究的有效人数为干预组48例，对照组44例。干预组阴性症状分及一般精神病理分明显低于对照组(P<0.01)；干预组PSP评分明显高于对照组(P<0.01)；干预组GQOL I-74总分、躯体功能维度、心理健康维度及社会功能维度均高于对照组(P<0.05)。结论社区综合康复能够控制精神分裂症患者精神症状，提高其社会功能和生活质量。
목적탐토사구종합강복대정신분렬증환자총체료효적영향。방법4개사구중정신분렬증환자100례분위간예조(n=50)화대조조(n=50)。간예조행사구종합강복간예치료6개월。소유환자수방1년。량조치료전후채용양성화음성증상량표(PANSS)、개인화사회공능량표(PSP)、생활질량종합평정문권(GQOLI-74)진행평정。결과량조완성연구적유효인수위간예조48례，대조조44례。간예조음성증상분급일반정신병리분명현저우대조조(P<0.01)；간예조PSP평분명현고우대조조(P<0.01)；간예조GQOL I-74총분、구체공능유도、심리건강유도급사회공능유도균고우대조조(P<0.05)。결론사구종합강복능구공제정신분렬증환자정신증상，제고기사회공능화생활질량。
Objective To explore the effects of the community-based rehabilitation on schizophrenia. Methods 100 patients with schizo-phrenia from 4 communities were assigned to intervention group (n=50) and control group (n=50). The intervention group accepted compre-hensive intervention for 6 months. All the patients were followed up for 12 months, and assessed with the Positive and Negative Symptoms Scale (PANSS), Personal and Social Function Scale (PSP), the General Quality of Life Inventory (GQOLI-74). Results 48 cases of the inter-vention group and 44 of the control group finished the study. The scores of negative symptoms and general spirit pathology were less in the intervention group than in the control group (P<0.01). The score of PSP was more in the intervention group than in the control group (P<0.01), as well as the total score and score of dimensions of physical function, mental health and social function (P<0.05). Conclusion Com-munity-based rehabilitation can control the mental symptoms, and improve the social function and the quality of life of patients with schizo-phrenia.