综合干预对康复期精神分裂症患者生活质量的影响

Effect of integrated intervention on the quality of life of patients with schizophrenia in rehabilitation period

目的:探讨综合干预对康复期精神分裂症患者生活质量的影响。方法:将符合CCMD-3诊断标准的住院治疗精神分裂症患者80例随机分为干预组和对照组各40例,干预组自出院前1个月对患者和家属实施综合干预,对照组按常规治疗出院。采用康复状态量表(MRSS)、社会功能缺陷筛选量表(SBSS)和WHO生存质量测定简表。对两组患者进行干预评估。结果:干预组经综合干预后MRSS、SDSS分值逐步下降,两组比较差异有显著性(P<0.01);经WHO生存质量评分显示,干预组于18个月后心理、社会关系领域等方面评分均高于对照组(P<0.05,P<0.01)。结论:对康复期精神分裂症患者实施综合干预,可以提高社会功能、改善生活质量。

Objective ： To explore the comprehensive intervention on the quality of life of patients with schizophrenia in rehabilitation period. Methods ： Eighty patients with schizophrenia, in line with the CCMD - 3 diagnostic criteria for hospital treatment, were randomly divided into intervention group and control group （40 cases for each group）. The integrated inter- vention was applied to the patients and family members in intervention group one month before the patients were discharged from hospital, and the patients in control group were given conventional therapy. Rehabilitation status scale （MRSS） , SDSS and WHO summary table of quality of life were used to make assessment of intervention on patients. Results ： The scores of MRSS, SDSS gradually declined after the intervention in intervention group and there was significantly difference （P 〈 0.01 ） ; WHO summany of table quauty of life scoring showed that the scores of psychological, social relations were higher in intervention group than that in control group（ P 〈 0.05 ,P 〈 0. 01）. Conclusion： The implementation of integrated intervention in patients with schizophrenia in rehabilitation period can improve the social function and quality of life of the patients.