医院社区一体化康复护理干预对精神分裂症患者社会功能的影响

Effect of nursing intervention of hospital-community integration on the social function of schizophrenia patients

目的探讨医院社区一体化康复护理干预对精神分裂症患者社会功能的影响。方法将240例精神分裂症患者随机分为观察组和对照组，各120例，两组均采取常规治疗护理，观察组在此基础上给予早期护理干预及康复训练。采用社会功能缺陷筛选量表（SDSS）和康复状态量表（MRSS）进行评估，比较两组患者1年末复发率和对服药的依从性。结果出院1年末观察组SDSS和MRSS低于对照组，社会功能改善程度和服药依从性高于对照组，复发率低于对照组，差异均有统计学意义（P〈0．01或P〈0．05）。结论医院社区一体化康复护理干预，能有效改善精神分裂症患者社会功能，提高其生活质量。

Objective To explone the rehabilitation nursing intervention of hospital-community integration on the social function of patients with schizophrenia. Methods 240 schizophrenia patients were randomly divided into observation group （120 cases） and control group （120 cases）. Both groups received routine treatment and care. Other than this, observation group received early intervention and rehabilitation care. Social Disability Screening Scale （SDSS） and the Morning Side rehabilitation status scale （MRSS） were used. Recurrence rate and medication compliance of two groups after 1 year were compared. Results Better improvement of the social function and medication compliance, as well as lower recurrence rate was found in the observation group. There was significant difference between the two groups （P 〈 0. 01 or P 〈 0. 05 ）. Conclusions The rehabilitation nursing intervention of hospital-community integration can improve the social function of schizophrenia patients and contributes to their quality of life.