多学科联合干预对首发精神分裂症病人的康复效果研究

Study of the recover effect of the multidisciplinary intervention on the patients with schizophrenia who were the first onset

目的探讨多学科联合干预改善精神分裂症病人的社会功能和提高生活质量的效果。方法将临床“痊愈”出院的首发精神分裂症病人212例随机分为研究组（106例）和对照组（106例）。出院后两组病人均给予抗精神药物维持治疗和一般的心理教育，研究组在上述基础上，延续医院治疗护理，实施多学科康复指导，纠正错误，调整康复训练方法，时间为1年。采用简明精神病评定量表（BPRS）、社会功能缺陷筛查量表（SDSS）、生活质量评定表（WHO—QOL）进行效果评估。结果研究组病人BPRS总分、SDSS总分均低于对照组，差异有显著意义（P〈0．01）；研究组生活质量评分高于对照组，差异有显著意义（P〈0．01）。结论多学科联合干预能够有效地延续医院治疗护理，对于改善首发精神分裂症病人的社会功能，提高生活质量，具有积极的作用。

Objective To explore the efficacy of the multidisciplinary medical nursing concerted intervention for improving social function deficiedcy and raising qulity of life of the patients with schizophrenia who were the first onset. Methods A total of 212 clinical healed inpatients with schizophrenia who were the first onset were randomly divided into study groups （ 106 patients） and the control group （ 106 cases）. Two groups of patients were given the antipsychotic drugs to maintain the psychological education and general treatment, when they left the hospital, the study group was additionally continued the hospital nursing and nursing, implemented interdisciplinary recover guidance, correcting the mistakes, and adjusting the rehabilitation training methods for 1 year. The effect was assessed by BPRS, SDSS and WHO - QOL. Results After 1 year, the total score, SDSS BPRS of the study group patients were lower than those of the control group （ P 〈 0. 01 ） . The scores of WHO - QOL of the study group were higher than those in the control group （ P 〈 0. 01 ） . Conclusions The multidisciplinary medical nursing concerted intervention could effectively continue hospital care and nursing, it had active role for improving social function and raising qulity of life of the patients with schizophrenia who axe the first onset.