精神分裂症患者家属教育对患者精神症状和功能的影响

Community-based family intervention improves symptom and social function of schizophrenic patients

120例精神分裂症患者随机分为干预组和对照组，各60例，对干预组家属实施1年的康复培训教育以帮助家属在家庭中为患者进行康复训练。干预1年后，干预组社会功能缺陷筛查量表总分及社会性退缩、家庭外的社会活动、家庭内活动、对外界的兴趣和关心评分[（23．4±6．8）、（1．64±0．30）、（1．76±0．66）、（1．74±0．78）和（1．17±0．73）分]，简明精神病量表中焦虑、装相和作态评分[（1．79±0．42）和（1．36±0．31）分]，均低于对照组[（38．5±3．4）、（2．96±0．47）、（2．67±0．88）、（2．75±0．98）和（2．12±0．84）分；（2．46±0．48）和（1．78±0．27）分]（均P〈0．05）。提示开展精神分裂症患者家属教育对患者的症状及功能恢复有积极影响。

One hundred and twenty patients with schizophrenia were randomly divided into intervention group and the control group with 60 in each. Family members in intervention group were given community based-rehabilitation training and education once a month for 12 months. Brief Psychiatric Rating Scale （BPRS） and Social Disability Screening Schedule （SDSS） were used to assess the symptoms and social function of patients betore and after intervention. The results were compared between two groups. Results showed that the BPRS total score and the SDSS total score in intervention group were lower than those in control group （ P 〈 0. 05 ）. The training and education of family members can improve symptoms and functional recovery for patients with schizophrenia.