精神分裂症致残者的社区日间康复模式研究

Community-based Day-care Rehabilitation Model for Mental Disability Due to Schizophrenia

目的为精神残疾人设计有效的社区日间多元化康复治疗。方法选取陶然亭街道辖区内由精神分裂症导致精神残疾者30例,分为对照组和干预组各15例,进行日间多元化康复模式的对照实验研究,并使用阳性和阴性症状量表(PANSS)及世界卫生组织残疾评定方案(WHO-DAS 2.0)国际中文版评估疗效。结果康复治疗后,干预组的PANSS阴性量表及一般精神病理量表、WHO-DAS 2.0评分持续下降,在第8周、第12周时有非常显著性差异(P<0.01)。结论社区日间多元化康复治疗模式可有效地整合社区资源,提高精神残疾康复效果。

Objective To create the effective community-based day-care model of mental disability with multiple approaches. Methods 30 subjects with schizophrenia in Taoranting community in Beijing were selected in control group （n=15） and intervention group （n=15）. A day-care multiple rehabilitation model had been implemented in the intervention group. They were evaluated with Positive and Negative Syndrome Scale （PANSS） and WHO Disability Assessment Schedule 2.0 （WHO-DAS 2.0）. Results The scores of PANSS negative symp- tom, general psychopathological symptom and WHO-DAS 2.0 significantly reduced continually in the intervention group 8 and 12 weeks af- ter intervention （P〈0.01）. Conclusion Community-based day-care model can improve the rehabilitation of mental disabled people and inte- grate the community resources for the schizophrenics.