摘要
目的：为了探讨开展社区精神病防治康复工作的可行性措施，评估其对社区精神病人的疗效及影响因素。对５４例社区精神病人进行为期两年跟踪观察。方法：在基层精防机构协作下，以工疗站为基地，建立家庭看护组开展家庭干预、心理康复、职业康复、医疗康复，培训基层精防人员。每半年评估一次。结果：两年后显示：精神分裂症缓解率７７．８％、社会影响率为０、年平均复发率８．３％、规则治疗率６６．７％。ＳＡＰＳ量表总分下降明显（Ｆ＝２．７５，Ｐ＜０．０５），ＳＡＮＳ和ＳＤＳＳ量表总分变化不大。并经多因素回归分析．康复疗效与各种康复措施呈正相关。结论：所施行的防治措施是有效而可行的。同时病人的阴性症状和社会功能改善不大，证明了社区精防工作的长期性和艰巨性。
Objective: The purposes of this study were to investigate into practicalmeasures for prevention and treatment of psychosis in the community,and to assess the effect and influencing factors of those measures.Methods:It was a longitudinal survey of 54 cases in the community for a term of 2 years.The sheltered workshop worked in cooperation with the Street Level Committee for Prevention and Treatment of psychosis toorganize Community Care-taking Group to implement family-tervention,psychsocial rehabilitation,occupational rehabilitation,medical care and staff training.The performance of the subjects were measured by SANS,SAPS,SDSS once every 6 mouths.Results :Two years later,the remissionrate of schizophrenia had come to 77.8%,the deatructive incident was o,average annual recurrence rate was 8.3%,66.7% cases stayed underregular treatment.The total scores of SAPS had declined significantly(F=2.75,P<0.05).Those of SANS and SDSS had not showed significantvariation.Multiple regression showed that rehabilitation effect waspositively correlated to the measures of rehabilitation effecf waspositively correlated to the measures of rehabilitation.Conclusions: The results indicated that the prevention and treatment measure wereeffective and practical.Whereas the results had shown littleimprovement in negative symptoms and social functioning.This indicatedthat community rehabiliataion work is not an easy task and its effectmay not be evident in short-rum.
出处
《现代康复》
CSCD
1998年第7期675-677,共3页
Modern Rehabilitation
