精神分裂症患者社区管理效果观察

Observed the effect of using community management on schizophrenia patients

目的了解精神分裂症患者社区管理后的康复效果。方法采用方便抽样的方法,于2006年6月-2009年5月将云南省昆明市东川区符合《中国精神障碍分类与诊断标准(第3版)》(CCMD-3)精神分裂症诊断标准的81例患者分为研究组和对照组,研究组在症状好转出院后立即纳入社区管理,对照组症状好转出院后仅给予氯氮平治疗,管理两年后采用简明精神病评定量表(BPRS)与社会功能缺陷筛选量表(SDSS)对两组患者复发和社会功能情况进行测评。结果研究组和对照组分别有3例和13例复发,差异有统计学意义(χ2=10.17,P<0.01)。两组检出社会功能缺陷分别有5例和25例,差异有统计学意义(χ2=27.23,P<0.01)。结论社区管理模式能降低精神分裂症复发率,改善社会功能,有利于患者回归社会,提高生活能力。

Objective To understand the rehabilitation effect after providing schizophrenia patients with community manage-ment. Methods The current study selected 81 patients who lived in Dongchuan,Kunming,Yunnan province from June 2006 to May 2009 and were diagnosed as schizophrenia by CCMD - 3 with convenience sampling method. These 81 patient were randomly diveded into 2 groups：study group and control group. The study group was subjected to community management after being discharged by hospi-tal,and the control group only received clozapine for treatment after discharged from hospital. Using the Brief Psychiatric Rating Scale （BPRS）and social disability screening schedule（SDSS）to evaluate two groups of patients recurrence and social function. Results There were 3 cases of recurrence in study group and 13 cases of recurrence in control group,the difference was statistically significant （χ2 = 10. 17,P 〈 0. 01）. Two groups of social function defect detection in 5 cases and 25 cases respectively,the difference was statisti-cally significant（χ2 = 27. 23,P 〈 0. 01）. Conclusion The application of community management mode to the discharged schizo-phrenes may decrease the recurrence rate,improve the social function of the patients,assist the patients return to society,enhance their living ability,and improve their quality of life.