| Wei Chunyan,Yang Jinmei,Zhao Dongrong,Zhu Yawen,Huo Xiaoning,Wang Chao,Efficacy of community rehabilitation combined with drug therapy on patients with schizophrenia in rural communities[J].SICHUAN MENTAL HEALTH,2021,34(1):64-68 |
| Efficacy of community rehabilitation combined with drug therapy on patients with schizophrenia in rural communities |
DOI：10.11886/scjsws20201019001 |
| English keywords:Schizophrenia Community health care Community rehabilitation intervention |
| Fund projects: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） |
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| 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. |
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