社区服务团队综合干预对精神分裂症患者康复的影响

Effect of the comprehensive intervention of the community service team on the rehabilitation of the patients with schizophrenia

目的:探讨社区服务团队综合干预对社区精神分裂症患者康复的影响。方法:于2013年2月至2014年2月从辖区登记册中选择符合入选标准的104例社区精神分裂症患者,按纳入管理先后顺序随机分成研究组和对照组各52例。对照组给予常规抗精神病药物治疗和一般随访,研究组除常规抗精神病药物治疗外还接受社区服务团队综合干预,干预时间均为12个月。干预前后,分别采用阳性和阴性症状量表(PANSS)、社会功能缺陷筛查量表(SDSS)以及服药依从性对疗效进行评估。结果:干预后研究组的PANSS、SDSS评分分别为(46.00±13.11)分和(7.47±3.09)分,明显低于对照组[分别为(52.06±13.81)分和(11.36±2.97)分],差异有统计学意义(t=2.261,P<0.05;t=-6.452,P<0.01)。研究组服药依从性、病情复发情况明显优于对照组,差异均有统计学意义(x2=6.051、4.191,P均<0.05)。结论:社区服务团队综合干预可有效促进社区精神分裂症患者康复,有利于患者社会功能的恢复,改善其服药依从性,降低疾病复发率。

Objective： To explore the effect of the comprehensive intervention of the community service team on the rehabilitation of the patients with schizophrenia in the community. Methods： From Feb. 2013 to Feb. 2014, 104 cases of community schizophrenia who met the inclusion criteria in the Jurisdiction register were selected and randomly divided into a research group and a control one with 52 cases each according to the sequence of being enrolled into the management. The control group only received the regular antipsychotic drug treatment and general follow-up, while the research group received the comprehensive intervention of the community service team for 12 months in addition to the regular antipsychotic drug treatment. The treatment efficacy was evaluated with the positive and negative syndrome scale（PANSS）, social disability screening schedule（SDSS）, and the drug compliance before and after the intervention. Results： The scores of PANSS and SDSS were（46.00±13.11） and（7.47±3.09） points in the research group, which were significantly lower than（52.06±13.81） and（11.36±2.97） points in the control one, and their differences had the statistical significance（t=2.261, P〈0.05; t=6.452, P〈0.01）. The compliance of the drug treatment and recurrence rate were better in the research group than in the control group, the difference had the statistical significance（x2=6.051、4.191, P〈0.05）. Conclusion： The comprehensive intervention of the community service team can effectively improve the rehabilitation of the patients with community schizophrenia, be conducive to the recovery of the social function of the patients, improve their medication compliance, and reduce the relapse rate of the disease.