《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (06): 580-582.

• 论文 • 上一篇    下一篇

住院方式对慢性精神分裂症患者生活质量的影响

郭细先，徐莉，陈连洲，秦天星   

  1. 宁波市精神病院，浙江宁波市315032。
  • 收稿日期:2012-11-14 修回日期:1900-01-01 出版日期:2013-06-25 发布日期:2013-06-25

Influence of Admission Mode on Quality of Life of Patients with Chronic Schizophrenia

GUO Xi-xian, XU Li, CHEN Lian-zhou, et al.   

  1. Ningbo Psychiatric Hospital, Ningbo 315032, Zhejiang, China
  • Received:2012-11-14 Revised:1900-01-01 Published:2013-06-25 Online:2013-06-25

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摘要： 目的比较分析不同住院方式对慢性精神分裂症患者生活质量的影响。方法将200 例慢性精神分裂症患者随机分为间断组和连续组，每组100 例。两组均使用非典型抗精神病药，间断组采取间断住院结合家庭治疗模式，连续组采取连续住院模式，观察治疗1 年。用阳性和阴性综合征量表(PANSS)和精神分裂症生活质量量表(SQLS)分别评定患者干预前、干预6 个月和1 年时病情和生活质量的变化。结果两组的干预方法对PANSS和SQLS评分有随时间变化的趋势，入组后6 个月末和1 年末评分较入组时显著下降(F组内=2119.531, 390.981, 均P=0.000)；干预与时间存在交互效应(F交互=17.660, 11.709, 均P=0.000)；PANSS评分存在组间差别(F组间=19.673, P=0.000)；间断组减分幅度显著大于连续组(P=0.000)。结论间断住院结合家庭治疗较连续住院模式更有利于患者病情控制和生活质量的改善和保持。

关键词: 精神分裂症, 生活质量, 住院方式

Abstract: Objective To compare the influence of different admission modes on quality of life of patients with chronic schizophrenia.Methods 200 patients with chronic schizophrenia were randomly assigned to discontinuous group and continuous group with 100 cases in each group. All patients were treated with atypical antipsychotic drugs. A discontinuous hospitalization combined with home treatment was given to the discontinuous group and a continuous hospitalization to the continuous group for 1 year. The Positive and Negative Syndrome Scale (PANSS) and the Schizophrenia Quality of Life Scale (SQLS) were respectively used to evaluate the patient's condition and quality of life before and after the intervention. Results The intervention methods on scores of PANSS and SQLS in both groups had a change trend with time. The scores of PANSS and SQLS were significantly lower in the end of 6 months and 1 year after intervention than before in both groups (F=2119.513, 390.981, P=0.000). There was a interaction effect between intervention method and time in both groups on the scores of PANSS and SQLS (F=17.660, 11.709, P=0.000). There was significant difference between 2 groups on the score of PANSS (F=19.673,P=0.000). The decrease range of those scores was greater in the discontinuous group than in the continuous group (P=0.000). Conclusion A discontinuous hospitalization combined with home treatment is more beneficial than a continuous hospitalization for the patients with chronic schizophrenia in controlling the syndrome and improving or keeping the quality of life.

Key words: schizophrenia, quality of life, mode of admission