免费服药对农村社区精神分裂症的作用

Effect of Free Treatment for Schizophrenia in Rural Community

目的探讨免费服药对农村社区精神分裂症的作用。方法通过现况调查并结合回顾性研究,对平谷区享受免费治疗政策的598名精神分裂症患者进行调查,填写简明精神病量表(BPRS)、个人和社会功能量表(PSP)、自知力与治疗态度问卷(ITAQ)、临床总体印象量表(CGI)、自制一般情况调查表。结果免费治疗1年后,患者的服药依从性较免费治疗前明显提高(χ2=9.245,P<0.01);BPRS、ITAQ、CGI、PSP量表均较免费治疗前有明显差异,(t=9.737,-12.59,7.15,-9.41;P均<0.001)。结论免费服药治疗能够提高患者服药依从性,缓解病情,提高社会功能,但需要政府部门的多方投入。

Objective To investigate the effect of free treatment for rural community schizophrenia .Methods Through the investigation and combined with the retrospective study ,598 of schizophrenia patients enjoyed the policy of free treatment for Pinggu District were investigated,completed the Brief Psychiatric Rating Scale （BPRS）,personal and social functioning scale （PSP）,insight and treat-ment attitude questionnaire,the Clinical Global Impression Scale（CGI）,the self-made general questionnaire.Results After one year of treatment,the compliance of the patients was improved significantly （χ^2=9.245,P=0.01）;BPRS,ITAQ,CGI,PSP scale were significant improved（t=9.737,7.15,-12.59,-9.41;P〈0.001）.Conclusion The free drug treatment can improve patients compliance ,alleviate the condition ,improve the social function ,but requires more investment in government departments .