雷志洁,尹敏,李红芳,李俊华.同伴支持服务对慢性精神分裂症患者社会功能的影响[J].四川精神卫生杂志,2023,36(3):254-258.Lei Zhijie,Yin Min,Li Hongfang,Li Junhua,Study of the influence of peer support service on social function of patients with chronic schizophrenia[J].SICHUAN MENTAL HEALTH,2023,36(3):254-258
同伴支持服务对慢性精神分裂症患者社会功能的影响
Study of the influence of peer support service on social function of patients with chronic schizophrenia
投稿时间:2022-09-14  
DOI:10.11886/scjsws20220914002
中文关键词:  同伴支持服务  慢性精神分裂症  日常生活能力  社会功能
英文关键词:Peer support service  Chronic schizophrenia  Ability of daily life  Social function
基金项目:天水市民生科技计划项目(项目名称:同伴支持服务对慢性精神分裂症患者社会功能的影响研究,项目编号:2020-SHFZKJK-9344)
作者单位邮编
雷志洁 天水市第三人民医院甘肃 天水 741000 741000
尹敏 兰州大学护理学院甘肃 兰州 730011 730011
李红芳* 天水市第三人民医院甘肃 天水 741000 741000
李俊华 天水市第三人民医院甘肃 天水 741000 741000
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中文摘要:
      背景 改善精神分裂症患者的社会功能是其康复的重要内容,同伴支持服务作为一种康复方式,对改善精神分裂症患者的社会功能可能具有重要意义。目的 探讨同伴支持服务对慢性精神分裂症患者日常生活能力和社会功能的影响,为促进慢性精神分裂症患者康复提供参考。方法 选取2020年1月1日-12月31日在天水市第三人民医院住院的、符合《国际疾病分类(第10版)》(ICD-10)诊断标准的100例慢性精神分裂症患者为研究对象,采用随机数字表法分为对照组和研究组各50例。两组患者均接受常规治疗及护理,研究组在此基础上接受为期12周、每周1~2次的同伴支持服务,对照组在研究结束后接受相同的同伴支持服务。于治疗前和治疗第1、2、4、8、12周末,采用日常生活能力量表(ADL)和社会功能缺陷筛查量表(SDSS)评定两组患者的日常生活能力和社会功能。结果 治疗第8周和第12周末,研究组ADL评分均低于对照组(t=-2.420、-2.814,P<0.05或0.01),研究组SDSS评分均低于对照组(t=-2.057、-2.322,P均<0.05)。结论 同伴支持服务可能有助于改善慢性精神分裂症患者的日常生活能力和社会功能。
英文摘要:
      Background The improvement of social function in patients with schizophrenia is an important part of their rehabilitation, and peer support services, as a rehabilitation method, may be of great significance to improve the social function of patients with schizophrenia.Objective To explore the influence of peer support service on the daily living ability and social function of patients with chronic schizophrenia, and to provide references for promoting the rehabilitation of patients with chronic schizophrenia.Methods A total of 100 patients with chronic schizophrenia who were hospitalized in The Third People's Hospital of Tianshui from January 1 to December 31, 2020 and met the diagnostic criteria of the International Classification of Diseases, 10th edition (ICD-10) were selected as the study objects, and they were divided into the control group and the study group with 50 cases each by random number table method. Patients in both groups received routine treatment and nursing care, on this basis, the study group received peer support service once or twice a week for 12 weeks, and the control group received the same peer support service at the end of the study. Before and at the 1st, 2nd, 4th, 8th and 12th week of the treatment, Activity of Daily Living Scale (ADL) and Social Disability Screening Schedule (SDSS) were used to evaluate the activities of daily living and social function of the two groups.Results The ADL scores of the study group were lower than those of the control group at the 8th week and 12th week of the treatment ( t=-2.420, -2.814, P<0.05 or 0.01) . The SDSS scores of the study group were lower than those of the control group at the 8th week an 12th week of the treatment (t=-2.057, -2.322, P<0.05) .Conclusion Peer support services may help improve the ability of daily life and social function of patients with chronic schizophrenia. [Funded by Tianshui City Livelihood Science and Technology Plan Project (number, 2020-SHFZKJK-9344)]
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