健康教育和心理支持在精神分裂症治疗中的作用

Effect of Health Eduation and Supportive Therapy on Schizophrenia

目的探讨健康教育和心理支持在精神分裂症治疗中的作用。方法对56例首次住院精神病患者，按人院顺序分为研究组（32例）和对照组（24例），两组接受同样的药物治疗。研究组辅以健康教育和心理支持治疗38～60天。研究组服利培酮3～6mg／日（18例）阿立哌唑10～30／日（9例），氯氮平200～400mg／日（5例）对照组服利培酮3～6mg／日（13例），阿立哌唑10～30mg／日（7例）氯氮平200—400mg／日（4例），于试验前及出院时分别对两组的治愈率和90项症状清单（SCL-90）进行评定和比较。结果研究纽治愈率（94％）高于对照组（71%，P〈0．05）。研究SCL-90总分及主要因子分均低于对照（P〈0．01）。结论精神分裂症患者早期进行健康教育和心理支持治疗能提高治疗效果。

Objective： explore the effect of health education and supportive therapy on schizophrenia Methods： Fifty six suddects were assigned into two groups according to the sequence of hospitalization Both groups receired the same drug treatment, arerage dosage： in experiment group Risperidone 3-6mg/d（18cases）,AripiprazoielO-30 mg/d（9case）Clozapine200-400mg/d（S case） received the health education and supportive therapy for 38 to 60 days in addition to drug treatment In control group, Risperidone3-6mg/d（13cases）,Aripiprazoie 10-30mg/d（Tcase）, Clozapine200-400mg/d（4 case） were used. The Symptom Checklist 90 was used for assessment before and after treatment and cure rate was eral. uated by clinical standard at discharge in both groups. Results： Cure rate was higher in the experimental group（94%）than control group （71%,P〈0.05）The total score of the Symptom Checklist 90 and main factors were lower in the experimental group than the control group （P 〈 0.01）. Conclussion： Early health education and supportive therapy can lmprore the treatment outcome of paltents with schizophrenia.