100例康复期精神分裂症患者社区护理临床疗效对照研究

A correlation study of the clinical effects community-based nursery on patients with 100 rehabilitation schizophrenia

目的:探讨社区护理对康复期精神分裂症患者的临床疗效。方法:将100例康复期精神分裂症患者随机分为干预组和对照组,各50例。干预组每周进行一次社区护理干预,对患者进行检查,进行心理治疗、康复训练、用药指导,并对其家属进行指导。对照组不做任何指导。两组患者持续随访1年,用阳性和阴性症状量表(PANSS),社会功能缺陷筛选量表(SDSS),康复状态量表(MRSS)对复发率,再住院率,再就业率进行评估。结果:1、干预组患者PANSS总分及各分量表分自第2月起减分率明显优于对照组(P<0.01);2、干预组患者MRSS、SDSS均显著优于对照组;3、干预组患者复发率(10.0%)、再住院率(4.0%)、未就业率(70.0%)显著低于对照组复发率(36.0%)、再住院率(43.3%)、未就业率(92.0%)。结论:康复期精神分裂症患者通过社区护理,可有效改善康复期精神分裂症患者的一些症状和社会功能。

Objective：To investigate the effects and feasibility of community-based nursery in patients with the rehabilitation schizophrenia.Methods：100 rehabilitation schizophrenics were randomly divided into the intervention group（50 subjects） and the control group（50 subjects） only given family visit without medical guide.The intervention group were established domestic sickbed,made domestic Community nursery once a week,done medical examination for patients and given psychotherapy,rehabilitation training,the direction of drugs for their relatives.The time of follow-up was one year.The results were evaluated with PANSS,SDSS,and MASS.Relapse rate,reemployment rate and re-hospitaltion rate also been recorded.Results： The clinical outcome of the intervention group was significantly higher than that of the control group（P〈0.01）.Conclusions： Community-based nursery may significantly in the intervention group improve the most symptoms of rehabilitation schizophrenic and their social adaptability.