农村家庭病床在精神分裂症治疗康复中的作用

Home Care for Schizophrenia in Beijing Rural Area

目的探讨农村家庭病床治疗精神分裂症的疗效。方法 36例家庭病床组与同期36例住院组进行对照,用阳性与阴性症状量表(PANSS)在治疗前,治疗后第4、8周评定临床疗效,6个月末用社会功能缺陷筛选量表(SDSS)评定社会功能。结果两组PANSS评分较治疗前均明显减低(P<0.01)。家庭病床组有效率69.4%,住院组66.7%,两组相比无显著性差异。家庭病床组SDSS评分明显低于住院组(P<0.01)。结论家庭病床是农村社区治疗精神分裂症的有效途径,且能较好地改善患者社会功能。

Objective To explore the effect of home care on schizophrenia in rural area in Beijing.Methods A comparative study has been done between 36 patients in home care and 36 patients in hospital.All of the patients were tested with Positive and Negative Symptoms Scale（PANSS） before,4 and 8 weeks after treatment and Social Disability Screening Scale（SDSS） at 6 months after treatment.Results The PANSS scores of two groups decreased significantly after the treatment（P0.01）.There was no significant difference in the effective rates between the home care group（69.4%） and the hospital group（66.7%）.The SDSS scores of the home care group was significantly lower than the hospital group（P0.01）.Conclusion Home care provides an efficient approach to treat schizophrenia in rural community,and it can improve the social function of the patients.