摘要
目的:探讨基于复元理念的个案管理康复服务对社区精神分裂症患者的疗效及可行性。方法:将符合入组标准的社区精神分裂症患者140例随机分为干预组和对照组各70例,干预组应用基于复元理念的个案管理康复服务,对照组接受常规的精神康复服务。用阳性阴性症状量表(PANSS)评定精神症状严重程度,生活满意度量表(LSIA)评定生活满意度,生活质量量表(SQLS)评定生活质量,个人和社会功能量表(PSP)评定个人和社会功能及人际关系,自尊量表(SES)评定自尊。用复发率和再住院率评价患者的复发情况。结果:两组间比较:干预6个月后,干预组阴性症状分、PSP得分、SES得分、SQLS得分及心理社会分量表得分与对照组比较差异有统计学意义(t=-2.06,2.205,2.082,2.194,-2.221;P<0.05),LSIA得分与对照组差异无统计学意义(t=0.751,P>0.05)。组内比较:干预组PANSS得分、PSP得分、SES得分在基线与半年后比较差异有统计学意义(t=6.759,P<0.01;t=-4.878,P<0.01;t=-2.524,P均<0.05),干预组SQLS得分、LSIA得分在基线与半年后比较差异无统计学意义(t=-1.540,0.549;P>0.05);对照组PANSS得分、PSP得分、SES得分、SQLS得分及LSIA得分在基线与半年后比较差异无统计学意义(t=0.806,-1.855,1.698,-0.248,-1.650;P均>0.05)。干预半年后,干预组复发率低于对照组。结论:对社区精神分裂症患者进行基于复元理念的个案管理康复服务具有可行性和有效性,有助于其康复。
Objective： To study the effectiveness and the feasibility of the recovery- based case management psychiatric rehabilitation services in schizophre- nic patients from community. Methods： 140 patients with schizophrenia meeting the criteria of the International Classification of Diseases- 10（ ICD-10） enrolled the study. They were randomly divided into two groups,intervention group with common psychiatric rehabilitation services combined with recovery- based case management and control group with common psychiatric rehabilitation services. Each group had seventy patients. The Positive and Negative Symptoms Scale（ PANSS） was used to evaluate the psychopathology. The Life Satisfaction Index A（ LSIA）was used to evaluate the satisfaction of life. The Schizophrenia Quality of Life Scale（ SQLS- CHN） was used to evaluate the patients＇ quality of life. The Personal and Social Performance scale（ PSP） was used to evaluate the personal and social performance and the interpersonal relationship. The Self- esteem Scale（ SES） was used to evaluate the self- esteem. The rates of relapse and readmission were used to estimate the condition of relapse. PANSS,LSIA,SQLS,PSP,SES and rates of relapse and readmission were used per half year. Results： 1 To compare between two groups,the score of the negative symptom subscale（ t=-2. 06,P〈0. 05）,the total score of PSP（ t = 2. 205,P〈0. 05）,the total score of SES（ t = 2. 082,P〈0. 05）,the total score of SQLS（ t =-2. 194,P〈0. 05） and the score of the psychosocial subscale（ t =-2. 221,P〈0. 05） were significantly different between intervention group and control group after half a year. The score of LSIA in intervention group was no significantly different between intervention group and control group after half a year. To compare inner group,the total score of PANSS（ t = 6. 759,P〈0. 001）,the total score of PSP（ t =-4. 878,P〈0. 001） and the total score of SES（ t =-2. 524,P〈0. 05） were significantly different between the ba
出处
《中国健康心理学杂志》
2015年第1期23-27,共5页
China Journal of Health Psychology
基金
上海卫生系统先进适宜技术推广项目(2013SY012)
上海市卫生局青年科研项目(20124Y189)
徐汇区医学科研课题(SHXH201131)
