精神分裂症家庭干预二年随访成本效益对照研究

Two-year follow-up control study of cost efficacy for familyintervention of schizophrenia

目的 探索降低社区精神分裂症康复成本、提高效益的有效服务形式。方法 采用随机对照研究设计 ,对社区2 2 5名精神分裂症进行历时二年的干预对照研究。结果 干预组患者的复发率、PANSS减分率和家属的 SAS总分减分率等均显著优于对照组。平均每户干预家庭年投入 36 0元 ,其直接与间接成本比对照组减少 416 .19元 ,复工增加收入比对照组多6 33.75元 ,效益成本比值 (NB)为 3.0 4。结论 家庭干预是降低精神分裂症康复直接、间接。

Objective To search for an effective community service which is cost efficacy for treat and prevention of chronic schizophrenic patients. Methods 225 outpatients with schizophrenia in community were randomly divided into two groups(intervention and control groups)and followed up for two years. Results The results after two year follow up showed that relapse rate ,PANSS scores, DAS scores and family's SAS scores among intervention group were significantly lower than control group. Among intervention group, the direct and indirect costs decreased RMB 460 yuan and increased income due to rework RMB 360 yuan for intervention .Conclusion This follow up study indicates that family intervention can be considered as a cost efficacy and effective community service for rehabilitation of schizophrenia