摘要
目的:对照研究家庭环境下和住院的退伍军人精神分裂症患者的康复效果。方法:研究对象:将从潍坊市荣复军人医院出院纳入家庭精神病床治疗的30例康复期精神分裂症患者自然成组,作为家庭组;另随机抽取30例住院疗养患者为对照组。家庭组于出院时和出院6个月后、与对照组同时采用BPRS、IPROS总分、DAS、SDS及SAS进行量表评定。结果:家庭组在出院后6个月时的社会功能缺陷程度明显降低,IPROS总分与研究前比较有非常显著性差异(P<0.01),BPRS总分较前有极显著差异(P<0.001),同时患者的焦虑抑郁情绪均有明显减低,SAS及SDS标准分与出院前比较均有显著性差异;而对照组除BPRS总分较前有显著性差异外(P<0.05)其余各量表值均无显著性差异(P>0.05),两组在6个月后各量表评分较前均有非常显著性差异(P<0.01)。结论:家庭环境可以改善康复期精神分裂症患者的阴性症状和焦虑症状,提高临床疗效,消除或减低患者心理障碍,提高社会适应能力,促进患者社会功能的康复。
Objective：To comparatively study effects of family environment and hospitalization on rehabilitation of schizophren- ic veterans. Methods ：30 discharged schizophrenic patients in the rehabilitation period were selected as family group and 30 i npatients were randomly selected as control group. The social functions of the two groups were evaluated by BPRS, IPROS total score, DAS, SDS and SAS when family group was discharged and 6 months after the discharge. Results： For family group, the social disability de- gree obviously decreased 6 months after the discharge, difference of the IPROS total score before and after the discharge was significant （P 〈 O. O1 ）, and also the difference of BPRS total score was also significant （P 〈 O. 001 ） ; at the same time, the anxiety and depres- sion emotions of the patients were obviously alleviated, and the differences of SAS and SDS standard scores before and after the dis- charge were significant. However, the differences of the scores of control group before and after the discharge were not significant （ P 〉 0.05 ） except the BPRS total score （ P 〈 O. 05 ）. 6 months after the discharge, the differences of each scale score between the two groups were all significant （ P 〈 O. O1 ）. Conclusions： The family environment can improve the negative symptoms and the anxiety symptoms of schizophrenic patients in the rehabilitation period, improve the clinical efficacy, eliminate or reduce psychological disor- ders, improve social adaptability, and promote the rehabilitation of the social functions.
出处
《中国民康医学》
2013年第11期88-90,共3页
Medical Journal of Chinese People’s Health
关键词
家庭病床
住院精神病患者
社会功能康复
Family bed
Hospitalized mental patients
Rehabilitation of social function
