《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (12): 1191-1192.

• 论文 • 上一篇    下一篇

农村家庭病床在精神分裂症治疗康复中的作用

魏保华,张桢   

  1. 北京市密云县精神卫生保健院,北京市 101500。
  • 收稿日期:2011-04-28 修回日期:1900-01-01 出版日期:2011-12-25 发布日期:2011-12-25

Home Care for Schizophrenia in Beijing Rural Area

WEI Bao-hua, ZHANG Zhen.   

  1. Miyun Mental Hospital, Beijing 101500, China
  • Received:2011-04-28 Revised:1900-01-01 Published:2011-12-25 Online:2011-12-25

摘要: 目的探讨农村家庭病床治疗精神分裂症的疗效。方法36例家庭病床组与同期36例住院组进行对照,用阳性与阴性症状量表(PANSS)在治疗前,治疗后第4、8周评定临床疗效,6个月末用社会功能缺陷筛选量表(SDSS)评定社会功能。结果两组PANSS评分较治疗前均明显减低(P<0.01)。家庭病床组有效率69.4%,住院组66.7%,两组相比无显著性差异。家庭病床组SDSS评分明显低于住院组(P<0.01)。结论家庭病床是农村社区治疗精神分裂症的有效途径,且能较好地改善患者社会功能。

关键词: 家庭病床, 精神分裂症, 社会功能

Abstract: Objective To explore the effect of home care on schizophrenia in rural area in Beijing. Methods A comparative study has been done between 36 patients in home care and 36 patients in hospital. All of the patients were tested with Positive and Negative Symptoms Scale (PANSS) before, 4 and 8 weeks after treatment and Social Disability Screening Scale (SDSS) at 6 months after treatment. Results The PANSS scores of two groups decreased significantly after the treatment (P<0.01). There was no significant difference in the effective rates between the home care group (69.4%) and the hospital group (66.7%). The SDSS scores of the home care group was significantly lower than the hospital group (P<0.01). Conclusion Home care provides an efficient approach to treat schizophrenia in rural community, and it can improve the social function of the patients.

Key words: home care, schizophrenia, social function