上海医药
上海醫藥
상해의약
SHANGHAI MEDICAL & PHARMACEUTICAL JOURNAL
2015年
12期
57-59,62
,共4页
精神分裂症%康复%社区综合%干预
精神分裂癥%康複%社區綜閤%榦預
정신분렬증%강복%사구종합%간예
schizophrenia%rehabilitation%community comprehensive%intervention
目的：探讨社区服务团队综合干预对社区精神分裂症患者康复的影响。方法：于2013年2月至2014年2月从辖区登记册中选择符合入选标准的104例社区精神分裂症患者，按纳入管理先后顺序随机分成研究组和对照组各52例。对照组给予常规抗精神病药物治疗和一般随访，研究组除常规抗精神病药物治疗外还接受社区服务团队综合干预，干预时间均为12个月。干预前后，分别采用阳性和阴性症状量表（PANSS）、社会功能缺陷筛查量表(SDSS)以及服药依从性对疗效进行评估。结果：干预后研究组的PANSS、SDSS评分分别为（46.00±13.11）分和（7.47±3.09）分，明显低于对照组[分别为（52.06±13.81）分和（11.36±2.97）分]，差异有统计学意义（t=2.261，P＜0.05；t=-6.452，P＜0.01）。研究组服药依从性、病情复发情况明显优于对照组，差异均有统计学意义(x2=6.051、4.191，P均＜0.05)。结论：社区服务团队综合干预可有效促进社区精神分裂症患者康复，有利于患者社会功能的恢复，改善其服药依从性，降低疾病复发率。
目的：探討社區服務糰隊綜閤榦預對社區精神分裂癥患者康複的影響。方法：于2013年2月至2014年2月從轄區登記冊中選擇符閤入選標準的104例社區精神分裂癥患者，按納入管理先後順序隨機分成研究組和對照組各52例。對照組給予常規抗精神病藥物治療和一般隨訪，研究組除常規抗精神病藥物治療外還接受社區服務糰隊綜閤榦預，榦預時間均為12箇月。榦預前後，分彆採用暘性和陰性癥狀量錶（PANSS）、社會功能缺陷篩查量錶(SDSS)以及服藥依從性對療效進行評估。結果：榦預後研究組的PANSS、SDSS評分分彆為（46.00±13.11）分和（7.47±3.09）分，明顯低于對照組[分彆為（52.06±13.81）分和（11.36±2.97）分]，差異有統計學意義（t=2.261，P＜0.05；t=-6.452，P＜0.01）。研究組服藥依從性、病情複髮情況明顯優于對照組，差異均有統計學意義(x2=6.051、4.191，P均＜0.05)。結論：社區服務糰隊綜閤榦預可有效促進社區精神分裂癥患者康複，有利于患者社會功能的恢複，改善其服藥依從性，降低疾病複髮率。
목적：탐토사구복무단대종합간예대사구정신분렬증환자강복적영향。방법：우2013년2월지2014년2월종할구등기책중선택부합입선표준적104례사구정신분렬증환자，안납입관리선후순서수궤분성연구조화대조조각52례。대조조급여상규항정신병약물치료화일반수방，연구조제상규항정신병약물치료외환접수사구복무단대종합간예，간예시간균위12개월。간예전후，분별채용양성화음성증상량표（PANSS）、사회공능결함사사량표(SDSS)이급복약의종성대료효진행평고。결과：간예후연구조적PANSS、SDSS평분분별위（46.00±13.11）분화（7.47±3.09）분，명현저우대조조[분별위（52.06±13.81）분화（11.36±2.97）분]，차이유통계학의의（t=2.261，P＜0.05；t=-6.452，P＜0.01）。연구조복약의종성、병정복발정황명현우우대조조，차이균유통계학의의(x2=6.051、4.191，P균＜0.05)。결론：사구복무단대종합간예가유효촉진사구정신분렬증환자강복，유리우환자사회공능적회복，개선기복약의종성，강저질병복발솔。
Objective: To explore the effect of the comprehensive intervention of the community service team on the rehabilitation of the patients with schizophrenia in the community. Methods:From Feb. 2013 to Feb. 2014, 104 cases of community schizophrenia who met the inclusion criteria in the Jurisdiction register were selected and randomly divided into a research group and a control one with 52 cases each according to the sequence of being enrolled into the management. The control group only received the regular antipsychotic drug treatment and general follow-up, while the research group received the comprehensive intervention of the community service team for 12 months in addition to the regular antipsychotic drug treatment. The treatment efifcacy was evaluated with the positive and negative syndrome scale (PANSS), social disability screening schedule (SDSS), and the drug compliance before and after the intervention. Results:The scores of PANSS and SDSS were (46.00±13.11) and (7.47±3.09) points in the research group, which were significantly lower than (52.06±13.81) and (11.36±2.97) points in the control one, and their differences had the statistical signiifcance (t=2.261, P<0.05;t=6.452, P<0.01). The compliance of the drug treatment and recurrence rate were better in the research group than in the control group, the difference had the statistical significance (x2=6.051、4.191, P<0.05). Conclusion: The comprehensive intervention of the community service team can effectively improve the rehabilitation of the patients with community schizophrenia, be conducive to the recovery of the social function of the patients, improve their medication compliance, and reduce the relapse rate of the disease.
