临床心身疾病杂志
臨床心身疾病雜誌
림상심신질병잡지
Journal of Clinical Psychosomatic Diseases
2015年
5期
69-71
,共3页
首发精神分裂症%家庭病床%住院治疗%社会功能%阳性与阴性症状量表%社会功能缺陷筛选量表
首髮精神分裂癥%傢庭病床%住院治療%社會功能%暘性與陰性癥狀量錶%社會功能缺陷篩選量錶
수발정신분렬증%가정병상%주원치료%사회공능%양성여음성증상량표%사회공능결함사선량표
FES%family practice%hospitalization%social functioning%PANSS%SDSS
目的：探讨社区家庭病床与住院医疗方式治疗首发精神分裂症患者的临床疗效以及对社会功能的影响。方法将接受家庭病床模式治疗的30例首发精神分裂症患者设为家庭病床组，抽取同期接受住院治疗的30例首发精神分裂症患者设为住院组，观察8周，治疗6个月后进行随访。采用阳性与阴性症状量表评定临床疗效，社会功能缺陷筛选量表评定社会功能。结果治疗后两组阳性与阴性症状量表总分及各因子分均较治疗前有显著下降（P＜0．01），同期两组间评分比较差异均无显著性（P＞0．05），治疗8周末家庭病床组总有效率为93．3％，住院组为90．0％，两组比较差异无显著性（χ2＝0．22，P＞0．05）。治疗6个月后家庭病床组社会功能缺陷筛选量表总分及社会退缩、家庭外活动、家庭职能、个人生活、兴趣关心因子分均显著低于住院组（P＜0．05或0．01）。结论家庭病床是社区治疗精神分裂症的一条有效途径，且能够较好地改善患者社会功能。
目的：探討社區傢庭病床與住院醫療方式治療首髮精神分裂癥患者的臨床療效以及對社會功能的影響。方法將接受傢庭病床模式治療的30例首髮精神分裂癥患者設為傢庭病床組，抽取同期接受住院治療的30例首髮精神分裂癥患者設為住院組，觀察8週，治療6箇月後進行隨訪。採用暘性與陰性癥狀量錶評定臨床療效，社會功能缺陷篩選量錶評定社會功能。結果治療後兩組暘性與陰性癥狀量錶總分及各因子分均較治療前有顯著下降（P＜0．01），同期兩組間評分比較差異均無顯著性（P＞0．05），治療8週末傢庭病床組總有效率為93．3％，住院組為90．0％，兩組比較差異無顯著性（χ2＝0．22，P＞0．05）。治療6箇月後傢庭病床組社會功能缺陷篩選量錶總分及社會退縮、傢庭外活動、傢庭職能、箇人生活、興趣關心因子分均顯著低于住院組（P＜0．05或0．01）。結論傢庭病床是社區治療精神分裂癥的一條有效途徑，且能夠較好地改善患者社會功能。
목적：탐토사구가정병상여주원의료방식치료수발정신분렬증환자적림상료효이급대사회공능적영향。방법장접수가정병상모식치료적30례수발정신분렬증환자설위가정병상조，추취동기접수주원치료적30례수발정신분렬증환자설위주원조，관찰8주，치료6개월후진행수방。채용양성여음성증상량표평정림상료효，사회공능결함사선량표평정사회공능。결과치료후량조양성여음성증상량표총분급각인자분균교치료전유현저하강（P＜0．01），동기량조간평분비교차이균무현저성（P＞0．05），치료8주말가정병상조총유효솔위93．3％，주원조위90．0％，량조비교차이무현저성（χ2＝0．22，P＞0．05）。치료6개월후가정병상조사회공능결함사선량표총분급사회퇴축、가정외활동、가정직능、개인생활、흥취관심인자분균현저저우주원조（P＜0．05혹0．01）。결론가정병상시사구치료정신분렬증적일조유효도경，차능구교호지개선환자사회공능。
Objective To explore the efficacy of community family practice and hospitalization for first‐epi‐sode schizophrenia (FES) and their influences on social functioning .Methods Thirty FES patients under‐going family practice were assigned to family practice group and 30 ones doing hospitalization to hospitali‐zation group ,observed for 8 weeks ,and followed up after 6 month treatment .Efficacies were assessed with the Positive and Negative Syndrome Scale (PANSS) and social functions with the Social Disability Screening Schedule (SDSS) .Results After treatment the total and each factor score of the PANSS of both groups lowered more significantly compared with pretreatment (P< 0 .01) ,there were no significant group differences in those in the corresponding period (P > 0 .05) ,at the end of the 8th week the total effective rate was respectively 93 .3% in family practice and 90 .0% in hospitalization group ,which showed no sig‐nificant difference (χ2 = 0 .22 , P > 0 .05) .After 6 month treatment the total ,social withdrawal ,activity outside family ,role‐family ,individual life and interest/concern score of the SDSS were all significantly lower in family practice than in hospitalization group (P< 0 .05 or 0 .01) .Conclusion Community family practice is an effective way to treat schizophrenia and could improve patients’ social functioning better .
