摘要
目的:探讨社会心理干预对精神分裂症患者康复的作用。方法:将109例精神分裂症患者随机分为社会心理干预组56例和对照组53例。干预组接受药物治疗和社会心理干预,对照组仅接受药物治疗。分别对2组的阳性和阴性症状量表(PANSS),社会功能缺陷筛选量表(SDSS)和依从性评分表、自知力、复发率进行比较。结果:随访3、6、12个月干预组PANSS总分、各因子分、SDSS评分显著低于对照组(P<0.05),治疗依从性、自知力好于对照组(P<0.05),复发率明显低于对照组(P<0.05)。结论:社会心理干预对精神分裂症的疗效,治疗依从性提高,社会功能改善及降低疾病的复发率有很好的作用,在我国精神分裂症社区康复工作中切实可行。
[Objective] To explore the function of social and psychological intervention on the rehabilitation of patients with schizophrenia.[Method] 109 patients with schizophrenia were randomly divided into intervention group 56 cases and control group 53 cases.Conventional treatments were given to the patients in both groups and social intervention was applied to the patiens at the same time to intervention group.All patients were assessed with positive and negative syndrome scale(PANSS),social disability screening schedule(SDSS),insight treatment attitude questionnaire(ITAQ),the compliance scale and self-designed scale at time of enrollment,3 months,6 months and 1 year after enrollment.[Result] The readmission rate in one year and the scores of PANSS were lower in observation group than that in control group(P<0.01or0.05);ITAQ score was higher than that in control(P<0.01).Between the two groups,the difference was significant(P<0.01or0.05)about medication compliance,relapse rate and employment rate. [Conclusion] Psychological and soical intervention can help patients with schizophrenia strengthen adherence of treatment,improve their social function and decrease the rate of recurrence.
出处
《浙江医学教育》
2012年第3期54-56,共3页
Zhejiang Medical Education
关键词
精神分裂症
社会心理干预
社区康复
psychological and soical intervention
schizophrenia
rehabilitation
