家庭化管理和教育对住院精神分裂症病人康复的影响

Study on influence of family management and health education on rehabilitation of inpatients with schizophrenic

目的探讨家庭化管理和教育对住院精神分裂症病人康复的影响。方法对50例住家庭式病房的精神分裂症病人(研究组)实施家庭化管理和教育,并与50例住封闭式病房的精神分裂症病人(对照组)进行比较,观察8周。采用简明精神病量表(BPRS)、自知力与治疗态度问卷(ITAQ)、自制满意度/舒适度问卷(QSC)和住院天数作为评价工具。结果入院时BPRS、ITAQ评分2组间差异均无显著性(P>0.05);8周后,BPRSI、TAQ评分2组间差异均存在显著性(P<0.05或P<0.01)。8周后研究组病人QSC显著优于对照组(P<0.01)、平均住院天数显著低于对照组(P<0.01)。结论对家庭式病房住院病人实施家庭化管理和教育,可提高住院精神病病人的康复效果。

Objective To explore the influence of family--mode management and health education on the rehabilitation of inpatients with schizophrenia. Methods 50 schizophrenic patients in familymodel ward （experimental group） received family--mode management and health education; Meanwhile, 50 schizophrenic patients in closed ward were regarded as control group. They had been observed for 8 weeks. Brief psychiatric rating scale（BPRS） ,insight and treatment attitude questionnaire（ITAQ）, selfdesign questionnaire of satisfactory and comfort（QSC）and days of stay--in hospital were used to evaluated the patients＇ conditions. Results There were no significant differences in the scales of BPRS and ITAQ between two groups when they came into the hospital （P 〉 0.05）. However, there were significant differences in the scales of BPRS and ITAQ between two groups after 8 weeks （P 〈 0.05 or P 0. 01）. After staying in the hospital for 8 weeks, the result of QSC of patients in experimental group was better than that of patients in control group （P 〈0.01）, and the average days of stay--in hospital of experimental group was fewer than that of control group. Conclusions Family--mode management and health education in psychiatric ward can improve the rehabilitation of inpatients with schizophrenic.