《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (06): 731-736.

• 特稿 • 上一篇    下一篇

精神分裂症致残者的社区日间康复模式研究

李恒 1,金忠 2,张鸿 2   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-06-25 发布日期:2015-06-25

Community-based Day-care Rehabilitation Model for Mental Disability Due to Schizophrenia

LI Heng1, JIN Zhong2, ZHANG Hong2   

  1. 1.Peking University Institute of Mental Health, Beijing 100191, China; 2. Taoranting Subdistrict Administration, Beijing 110000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-06-25 Online:2015-06-25

摘要: 目的 为精神残疾人设计有效的社区日间多元化康复治疗。方法 选取陶然亭街道辖区内由精神分裂症导致精神残疾者30例,分为对照组和干预组各15例,进行日间多元化康复模式的对照实验研究,并使用阳性和阴性症状量表(PANSS)及世界卫生组织残疾评定方案(WHO-DAS 2.0)国际中文版评估疗效。结果 康复治疗后,干预组的 PANSS阴性量表及一般精神病理量表、WHO-DAS 2.0评分持续下降,在第 8周、第 12周时有非常显著性差异(P<0.01)。结论 社区日间多元化康复治疗模式可有效地整合社区资源,提高精神残疾康复效果。

关键词: 精神分裂症, 精神残疾, 日间照料, 社区, 多元化康复

Abstract: Objective To create the effective community-based day-care model of mental disability with multiple approaches. Methods 30 subjects with schizophrenia in Taoranting community in Beijing were selected in control group (n=15) and intervention group (n=15). A day-care multiple rehabilitation model had been implemented in the intervention group. They were evaluated with Positive and Negative Syndrome Scale (PANSS) and WHO Disability Assessment Schedule 2.0 (WHO-DAS 2.0). Results The scores of PANSS negative symptom, general psychopathological symptom and WHO-DAS 2.0 significantly reduced continually in the intervention group 8 and 12 weeks after intervention (P<0.01). Conclusion Community-based day-care model can improve the rehabilitation of mental disabled people and integrate the community resources for the schizophrenics.

Key words: schizophrenia, mental disability, day-care, community, multiple rehabilitation