《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (09): 809-812.

• 论文 • 上一篇    下一篇

社区综合康复对精神分裂症总体疗效的影响

杨雀屏，张国富，李达，包炤华，张恒，许林峰，张紫娟，王妙妙，周玉英   

  1. 1.无锡市精神卫生中心，a.社会防治科；b.精神康复科，江苏无锡市214151。
  • 收稿日期:2013-03-08 修回日期:2013-05-13 出版日期:2013-09-25 发布日期:2013-09-25
  • 通讯作者: 李达

Effects of Community-based Rehabilitation on Schizophrenia

YANG Que-ping, ZHANG Guo-fu, LI Da, et al.   

  1. Wuxi Mental Health Center of Nanjing Medical University, Wuxi 214151, Jiangsu, China
  • Received:2013-03-08 Revised:2013-05-13 Published:2013-09-25 Online:2013-09-25

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摘要： 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。

关键词: 精神分裂症, 社区康复, 精神症状, 社会功能, 生活质量

Abstract: Objective To explore the effects of the community-based rehabilitation on schizophrenia. Methods 100 patients with schizophrenia from 4 communities were assigned to intervention group (n=50) and control group (n=50). The intervention group accepted comprehensive 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 intervention 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 Community-based rehabilitation can control the mental symptoms, and improve the social function and the quality of life of patients with schizophrenia.

Key words: schizophrenia, community-based rehabilitation, mental symptoms, social function, quality of life