论文部分内容阅读
目的：探讨社区综合干预对精神分裂症患者康复的效果评价。方法将184例社区慢性精神分裂症患者按随机数字表法分为干预组和对照组个92例。干预组给予每周1次服药情况、生活自理督导、社交能力训练，以及1月1次面对面健康教育；对照组仅予一般的社区随访和疾病指导。于干预前、干预8周、16周末采用阳性和阴性症状量表、社会功能缺陷量表、日常生活量表及MORISKY‐4服药依从性量表分别进行评定。结果干预后 PANSS总分、SDSS和ADL评分中干预组各项分值在各时点低于对照组，均有统计学差异（F＝4．3，5．1，0．9；P＝0．01，0．01，0．4）。MMAS‐4量表中，干预组在各时点服药依从性好的人数均明显高于对照组，有统计学差异（ P均＜0．01）脱失原因中，干预组因精神症状复发脱失人数多于对照组（4／29，4．3％；12／29，13．0％），有统计学差异 P＜0．05。结论社区综合干预有利于提高精神分裂症患者生活自理及社会功能，增强服药依从性，改善患者精神症状。“,”Objective To explore the effect of community comprehensive intervention on rehabilitation of schizophrenic .Methods A total of 184 community chronic schizophrenics were divided into two groups of 92 ones each according to random number table .Once drug administration ,life self‐care supervisor and so‐ciability training were given to observation weekl and once face to face health education monthly ;general community follow‐up and disease guidance were given to control group .Assessments were conducted with the Positive and Negative Syndrome Scale (PANSS) ,Social Disability Screening Schedule (SDSS) ,Activi‐ty of Daily Living Scale (ADL) ,and Morisky Medication Adherence Scales‐4 (MMAS‐4) before interven‐tion and at the end of the 8th and 16th week .Results The total score of the PANSS and all scores the SDSS and ADL were significantly lower in observation than control group at every time‐point (F=4 .3 ,5 .1 ,0 .9;P=0 .01 ,0 .01 ,0 .4) ,which had statistical differences .Numbers of good time‐point compliance of the MMAS‐4 were significantly more in observation than control group ,which had statistical differences (Ps<0 .01);drop‐out numbers due to relapse of mental symptoms were significantly more in observation than control group (4/29 ,4 .3% ;12/29 ,13 .0% ) ,which had statistical differences (P<0 .05) .Conclusion Community comprehensive interventions is beneficial to the improvement of schizophrenics’ life self‐care and social function ,reinforce treatment compliance ,and improve patients’ mental symptoms .