摘要
目的分析精神分裂症患者社会功能障碍的现状并探讨家庭干预对其康复效果的影响。方法分析我院门诊收治的128例精神分裂症患者入院治疗前的社会功能状况;患者出院后,将患者随机分为家庭干预组和对照组各64例;对照组给予常规精神病药物维持治疗,干预组在此基础上给予家庭干预治疗1年,并采用社会功能缺陷量表(SDSS)及康复状态量表(MRSS)评估患者的治疗效果;并观察患者的服药依从性及病情复发情况。结果 120(93.7%)例的患者存在明显的社会功能障碍,集中表现在职业及工作、计划性及责任心、对外界的关心及兴趣方面;家庭干预前两组间SDSS、MRSS评分并无显著差异(P>0.05),干预后干预组此两项得分均低于对照组(P<0.05);同时干预组的服药依从性、复发率情况均优于对照组(P<0.05)。结论精神分裂症患者大都存在较为严重的社会功能障碍,家庭干预可以显著提高患者生活质量,改善社会功能,降低复发率。
Objective To discuss the family intervention effect on social dysfunction rehabilitation of schizophrenia.Methods An analysis was made to the social function of 128 cases with schizophrenia before admission,who were then hospitalized and treated;after discharge,they were randomly divided into 2 groups： intervention group and control group,64 cases in each;routine drug therapy was given to patients in both groups and family intervention was added to patients in intervention group for 1 year,and Social Disability Screening Schedule（SDSS） and Morningside Rehabilitation State Scale（MRSS） were used to evaluate the therapeutic effect;the drug compliance and reoccurrence were observed.Results 120 cases（93.7%） showed out obvious social dysfunction,mainly in profession and work,schematization and responsibility,concern of others and self interest;the scores of SDSS and MRSS in the 2 groups were of no obvious difference（P〈0.05） while after intervention,the scores of intervention group were lower than those of control group,and the drug compliance and reoccurrence were superior to those of control group（P〈0.05）.Conclusions Most of the schizophrenia have the serious social dysfunction;family intervention can obviously promote their living quality,improve their social function and decrease the reoccurrence.
出处
《西南军医》
2012年第2期208-210,共3页
Journal of Military Surgeon in Southwest China
关键词
精神分裂症
社会功能
康复状态量表
社会功能缺陷量表
schizophrenia social function Morningside Rehabilitation State Scale（MRSS） Social Disability Screening Schedule（SDSS） reoccurrence
