社区监管和程序化训练对首发精神分裂症康复的卫生经济学效益

Health economics efficiency of community manages and medication self-management skill training on first-episode schizophrenia rehabilitation

目的探讨社区监管和药物自我处置程序化训练对首发精神分裂症康复效果的卫生经济学效益。方法对纳入社区管理的首发精神分裂症患者,随机分为干预组27例和对照组29例,进行为期1年的追踪随访,采用简明精神病评定量表(BPRS)、社会功能缺陷筛选量表(SDSS)及自编卫生经济调查表评定。结果两组比较,干预组的患者精神症状较稳定,后续住院费用较省,收入较多。结论在社区监管的基础上开展药物自我处置程序化训练能更好地改善首发精神分裂症患者的精神症状和社会功能,降低后续住院医疗费用,可作为首发精神分裂症患者有效的康复措施之一。

Objective To explore the health economic efficiency of community manages and medication self- management skill training on first - episode schizophrenia rehabilitation. Methods A total of 56 patients with first - episode schizophrenia broungt into a community management were randomly divided into intervention group（27cases）and control group（29cases）. They were followed - up for one year. All patients were evaluated with Brief Psychiatric Rating Scale （BPRS） ,Social Disability Screening Schedule（SDSS） and self- designed heahh economics investigation questionnaire. Results Compared to control group, patients in intervention group had significantly more stable psychiatric symptoms,fewer follow - up hospitalization costs, and higher income from work. Conclusion Through community manages and medication self - management skill training, the patients with first - episode schizophrenia may have inprovement in psy- chiatric symptoms and social function,lower follow -up hospitalization costs, thus it could be one of effective rehabilitation methods.