摘要
目的:采用医院-社区-家庭治疗联盟对重性精神疾病患者进行干预,研究其对患者复发再入院情况的影响,探讨该方法在精神疾病治疗和康复中的有效性。方法:将200例重性精神疾病患者分为干预组和对照组各100例,干预组患者参与医院-社区-家庭治疗联盟,对照组按原有治疗模式,出院后不予特殊干预。比较2组患者一年内复发再住院情况以及社会功能水平。结果:干预1年后,干预组一年内的再入院率和平均住院日均低于对照组(P<0.05),干预组再入院后的治疗有效率和临床治愈率高于对照组,但差异无统计学意义。2组患者在干预1、3、6及12个月四个随访时段的社会功能缺陷筛选量表(SDSS)评分均较干预前明显减少(P<0.05),个人和社会功能量表(PSP)评分四个随访时段均较干预前明显上升(P<0.05);组间比较发现,随访期间干预组的SDSS得分均低于对照组,且在干预后第6和第12个月时差异有统计学意义(P<0.05)。干预组PSP得分在四个随访时段均高于对照组,且在干预后第3、6、12个月时差异有统计学意义(P<0.05)。结论:医院-社区-家庭治疗联盟能减少重性精神疾病复发,更有利于社会功能的恢复,值得推广。
Objective:To intervene in patients with severe mental illness using the hospital-community-family treatment alliance to observe its impact on disease recurrence.Methods:200 patients with severe mental illness admitted from January 1,2016 to March 31,2016 were divided into intervention group and control group.Patients in the intervention group participated in hospital-community-family treatment,and those in the control group received the original treatment mode and no special intervention was given after discharge.The recurrence and re-hospitalization within one year and social function levels were compared between two groups.Results:The re-admission rate and average hospitalization time were significantly reduced in the intervention group as compared with those in the control group(P<0.05).The treatment efficiency and clinical cure rate in the intervention group were significantly increased as compared with those in the control group(P>0.05).There were significant differences in the Social Disability Screening Schedule(SDSS)and the Personal and Social Performance Scale(PSP)scores(P<0.05)between the pre-treatment and the four follow-up periods.The SDSS scores in the intervention group were lower than those in the control group at 6th and 12th month after discharge.The PSP score was significantly higher in the intervention group than that in the control group at 3rd,6th and 12th month after discharge(P<0.05).Conclusion:The hospital-community-family treatment alliance can reduce the recurrence of severe mental illness,and is more conducive to the recovery of social function,which is worth promoting.
作者
傅正闯
任建娟
周建红
俞锴
郑亚丽
Fu Zhengchuang;Ren Jianjuan;Zhou Jianhong(Mental Health Center, Zhejiang Xiaoshan Hospital, Hangzhou 311200, China)
出处
《中国康复》
2020年第5期273-275,共3页
Chinese Journal of Rehabilitation
基金
萧山区科技局项目(2015206)。
关键词
医院-社区-家庭治疗联盟
重性精神疾病
再入院
社会功能缺陷筛选量表
个人和社会功能量表
hospital-community-family treatment alliance
severe mental illnesses
readmission
social Disability screening schedule
the personal and social performance scale
