社区康复干预对慢性精神分裂症患者康复的影响

Influences of community rehabilitation intervention on rehabilitation of chronic schizophrenics

目的探讨社区康复干预对慢性精神分裂症患者生活能力和社会功能康复的影响。方法将120例精神分裂症患者随机分为两组，每组60例，研究组56例完成研究，对照组54例完成研究。两组均接受常规药物维持治疗和一般健康教育，研究组在此基础上实施康复干预，干预6个月后改为电话随访。观察1a。采用个人和社会功能量表进行测评分析。结果个人和社会功能量表总分及各因子分，研究组治疗前后比较差异均有极显著性（P〈0．01），对照组治疗前后比较差异均无显著性（P〉0．05）；同期两组间比较，治疗前差异无显著性（P〉0．05），治疗1a末差异均有极显著性（P〈0．01）。结论对慢性精神分裂症患者实施社区康复干预，能有效地提高慢性精神分裂症患者的生活能力，改善社会功能，减少疾病复发。

Objective To explore the influences of community-based rehabilitation interventions on living ability and social function rehabilitation of chronic schizophrenics. Methods A total of 120 schizophrenics were randomly assigned to two groups of 60 patients each, 56 completed in research and 54 did in control group. Both groups received routine maintenance drug therapy and general health education, research group was plus rehabilitation intervention, changed to telephone follow up after 6 month intervention, and observed for 1 year. Assessments were carried out with the Personal and Social Performance Scale （PSP）. Results There was significant difference in the total and each factor score of the PSP between preand post-treatment in research group （P〈0.01） and no in control group （P〈0.05） ; contemporaneous group comparisons showed no significant difference before treatment （P〈0.05） and significant difference at the end of 1 year treatment （P〈0.01）. Conclusion Community-based rehabilitation interventions could effec tively raise living ability, improve social function and reduce relapse in chronic schizophrenics.