《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (09): 813-816.

• 论文 • 上一篇    下一篇

社区综合康复对慢性精神分裂症的疗效及初步卫生经济学评价

傅伟忠，张明，秦虹云，陆林福，王美珍，陈颖，卢瑛，唐强，方海平   

  1. 浦东新区精神卫生中心，上海市200124。
  • 收稿日期:2012-09-28 修回日期:1900-01-01 出版日期:2013-09-25 发布日期:2013-09-25

Effect and Preliminary Health Economy of Comprehensive Community-based Rehabilitation for Chronic Schizophrenics

FU Wei-zhong, ZHANG Ming, QIN Hong-yun, et al.   

  1. Mental Health Center of Shanghai Pudong, Shanghai 200124, China
  • Received:2012-09-28 Revised:1900-01-01 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慢性精神分裂症患者疗效及卫生经济学价值。方法对80 例社区慢性精神分裂症患者进行1 年综合康复，随访观察1 年。另80 例社区患者为对照组。观察临床疗效及费用成本。结果康复组患者社会功能状况、治疗依从性、病情稳定率、家庭负担、生活满意度、症状评定、复发住院数7 项指标均明显优于对照组(P<0.01)，2 年总费用低于对照组，主要表现为住院费用、维持药物治疗费用、照料者停工损失费、社区防治费用明显低于对照组(P<0.01)。结论社区综合康复可以改善慢性精神分裂症患者的预后，并减少成本。

关键词: 精神分裂症, 社区康复, 预后, 卫生经济

Abstract: Objective To explore the efficacy of comprehensive community-based rehabilitation on chronic schizophrenia and assess in the view of health economy. Methods 80 chronic schizophrenic patients accepted comprehensive community-based rehabilitation for 1 year and were followed up for 1 year. Other 80 chronic schizophrenics were as the controls. They were observed with outcome and the cost. Resultsn The social function, compliance, stability rate, burden on family caregiver, satisfaction of living, psychiatric symptoms, hospitalization were all better in the rehabilitation group than in the control group (P<0.01), and the total cost in the 2 years was less, especially that on hospitalization,maintenance treatment, work loss of caregivers, public prevention (P<0.01). Conclusion Comprehensive community-based rehabilitation can improve the outcome of chronic schizophrenics with less cost.

Key words: schizophrenia, community-based rehabilitation, outcome, health economy