开放式管理模式对首发精神分裂症患者的康复作用

Rehabilitation Effect of Open Management on First onset Schizophrenics

目的探讨开放式管理模式对首发精神分裂症患者的作用。方法50例首发精神分裂症患者分别在开放式管理模式(开放组)和封闭式管理模式的病房内(封闭组)治疗,采用简明精神病量表(BPRS)、护士用住院病人观察量表(NOSIE)、社会功能缺陷筛选量表(SDSS)和服药依从性等量化指标进行效果评价。结果在入院治疗4、8周时开放组与封闭组BPRS和NOSIE总评分比较差异有显著性(P<0.05、0.01);出院时及出院后6及12个月末SDSS评分开放组显著低于封闭组(P<0.01);服药依从性亦优于封闭组(P<0.05)。结论开放式管理模式对于首发精神分裂症患者的康复有良好的作用,且能提高其服药依从性,延缓社会功能衰退。

Objective:To investigate the effect of open management on first onset schizophrenics. Methods: Fifty patients in open and closed style wards were assessed with BPRS, NOSIE, SDSS and medicine compliance. Results: Compared the open group to the closed group, the scores of BPRS and NOSIE had significant differences in 4 and 8 weeks ( P <0.05, 0.01). The scores of SDSS in the open group were lower significantly than those in the closed group ( P <0.05) at discharge, 6 and 12 months after discharge. The medicine compliance in the open group was better than that in closed group (P<0.05) at 6 and 12 months after discharge. Conclusion: The open management had better rehabilitation effect on first onset schizophrenics and could improve the compliance of medicine administration and delay the withdrawing of social ability.