免费服药对农村社区重性精神疾病患者家庭负担的作用

Effect of Free Medication on Family Burden of Patients with Severe Mental Illness in Rural Community

目的探讨免费服药对农村社区精神障碍患者家庭负担的作用。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996名重性精神障碍患者进行免费前后各1年的调查,填写自制测查表及个人与社会表现量表(PSP)、家庭负担量表(FBS)、疾病负担评定表。结果免费治疗1年后,个人与社会表现量表、医疗成本较前有显著性差异(t=-2.309,3.361;P<0.05);家庭负担量表总分及经济负担较前有极显著差异(t=3.719,6.117;P<0.001);家庭日常活动、家庭娱乐活动、家庭关系、家庭成员躯体健康较前有显著差异(t=2.351,3.309,2.163,2.085;P均<0.05)。结论免费治疗提高了患者的社会功能,同时减轻了家庭负担。

Objective To explore the effect of free medication on family burden of patients with severe mental illness in rural com -munity.Methods A total of 996 patients with severe mental illness who enjoyed free treatment policy were investigated by prevalence survey in conjunction with a retrospective study of Pinggu district ,the investigation table included homemade measuring table ,personal and social performance scale（PSP）,Family Burden Interview（FBS）,and the burden of disease rating scale.Results After one year of free treatment,personal and social performance scale score and health care costs had significantly different than those before free medica -tion（t=-2.309,3.361;P〈0.05）.There were significant differences in family burden and economic burden （t=3.719,6.117;P〈0.001）,daily household activities,family entertainment,family relationships,physical health of family members （t =2.351,3.309, 2.163,2.085;P〈0.05）.Conclusion Free medication can improve the social function of patients ,and reduce the burden of their fami-ly.