魏春燕,杨晋梅,赵东荣,朱雅雯,霍小宁,王超.社区康复联合药物治疗对农村社区精神分裂症患者康复的效果[J].四川精神卫生杂志,2021,(1):64-68.
社区康复联合药物治疗对农村社区精神分裂症患者康复的效果
Efficacy of community rehabilitation combined with drug therapy on patients with schizophrenia in rural communities
投稿时间:2020-10-19  
DOI:10.11886/scjsws20201019001
中文关键词:  精神分裂症  社区医疗  社区康复干预
英文关键词:Schizophrenia  Community health care  Community rehabilitation intervention
基金项目:国家社会科学基金西部项目(项目名称:多民族地区精神障碍患者未成年子女心理健康服务体系的构建,项目编号:20XMZ071);兰州市人才创新创业项目(项目名称:精神分裂症患者自杀风险的心理社工干预及预警防治体系构建的研究,项目编号:2017-RC-7)
作者单位邮编
魏春燕 兰州市第三人民医院甘肃 兰州 730050 730050
杨晋梅 兰州市第三人民医院甘肃 兰州 730050 730050
赵东荣 兰州市第三人民医院甘肃 兰州 730050 730050
朱雅雯 西北师范大学甘肃 兰州 730030 730030
霍小宁 兰州市第三人民医院甘肃 兰州 730050 730050
王超 兰州市第三人民医院甘肃 兰州 730050 730050
摘要点击次数:
全文下载次数:
中文摘要:
      目的 研究社区康复联合药物治疗对农村社区精神分裂症患者康复的效果,为我国农村地区精神分裂症患者社区康复提供参考。方法 选择兰州新区三个镇农村社区中符合《国际疾病分类(第10版)》(ICD-10)精神分裂症诊断标准的患者81例,按随机数字表法分为研究组(n=39)和对照组(n=42),两组均接受一般药物治疗,研究组在此基础上接受6个月的社区康复干预。于干预前后采用阳性和阴性症状量表(PANSS)、日常生活能力量表(ADL)、社会功能缺陷筛选量表(SDSS)和精神分裂症患者生活质量量表(SQLS)评定两组患者的精神病性症状、社会功能和生活质量。结果 干预后,研究组PANSS总评分[(55.54±14.75)分vs.(63.52±13.95)分,t=-2.504,P=0.014]、阴性症状[(15.64±4.50)分vs.(18.38±5.13)分,t=-2.547,P=0.013]和一般精神病理分量表评分[(25.67±7.39)分vs.(30.35±6.60)分,t=-3.015,P=0.003]均低于对照组;研究组SDSS总评分[(8.21±3.78)分vs.(10.21±4.67)分,t=-2.118,P=0.037]和SQLS总评分[(18.97±6.23)分vs.(22.43±8.04)分,t=2.150,P=0.035]均低于对照组,差异均有统计学意义。结论 社区康复联合药物治疗可能有助于减轻农村社区精神分裂症患者的精神病性症状,提高社会功能,改善生活质量。
英文摘要:
      Objective To study the efficacy of community rehabilitation combined with drug therapy on rehabilitation of patients with schizophrenia in rural communities, and to provide references for community rehabilitation of patients with schizophrenia in rural areas of our country.Method A total of 81 patients in rural communities of three towns in Lanzhou new area who met the diagnostic criteria of International Classification of Diseases, tenth edition (ICD-10) were randomly divided into study group (n=39) and control group (n=42). Both groups received general drug treatment. On this basis, the study group received community rehabilitation intervention for 6 months. Before and after intervention, Positive and Negative Syndrome Scale (PANSS), Activity of Daily Living Scale (ADL), Social Disability Screening Schedule (SDSS) and Schizophrenia Quality of Life Scale (SQLS) were used to assess the psychotic symptoms, social function and quality of life in two groups.Results After intervention, the PANSS total score [(55.54±14.75) vs. (63.52±13.95), t=-2.504, P=0.014], negative symptom factor score [(15.64±4.50) vs. (18.38±5.13), t=-2.547, P=0.013] and general psychopathological factor score [(25.67±7.39) vs. (30.35±6.60), t=-3.015, P=0.003] of the study group were lower than those of the control group. The SDSS score [(8.21±3.78) vs. (10.21±4.67), t=-2.118, P=0.037] and SQLS score [(18.97±6.23) vs. (22.43±8.04), t=2.150, P=0.035] of the study group were lower than those of the control group.Conclusion Community rehabilitation combined with drug therapy may help alleviate psychotic symptoms, improve social function and improve quality of life in patients with schizophrenia in rural communities.
查看全文  HTML  查看/发表评论  下载PDF阅读器
关闭