家庭和社区康复对精神分裂症患者的作用

Family and Community Rehabilitation in Patients with Schizophrenia

目的:探讨家庭和社区康复对农村社区精神分裂症病人的作用。方法:将200名精神分裂症患者随机分为干预组和对照组,对干预组患者实施综合式干预,经过6个月的观察,在0、3、6个月用自制一般情况调查表、阳性和阴性症状量表(PANSS)、攻击风险评估表对两组进行评分比较。结果:干预6个月后两组间PANSS量表中的阳性量表、阴性量表、精神病理量表及总评均有显著差异(t=-3.080,-3.082,-2.527,-3.086;P均<0.05)。两组间攻击风险评估表在3、6个月有显著差异(χ2=4.031,6.737;P均<0.05)。结论:综合家庭、社区及部门间合作的康复形式,有利于促进精神分裂症患者病情稳定,减少冲动攻击行为。

Objective： To investigate the role of family and community rehabilitation in rural communi- ty schizophrenic patients. Methods：200 patients with schizophrenia were randomly divided into interven-tion group and control group, on the implementation of comprehensive intervention, intervention group pa- tients were observed in six months ; At 0,3,6 months, home - made general situation questionnaire, the positive and negative symptoms scale （PANSS）, attack risk assessment scale were used to assesss two groups. Results：After the six -month intervention, there were significant differences in positive scale, negative scale, psychopathy scale and overall PANSS scale score between two groups （t =-3. 080, -3. 082, -2.527, -3. 086 ; P 〈 0.05 ）. There were significant differences in attack risk assessment table at 3,6 months between two groups（x2 =4. 031,6. 737 ;P 〈0.05）. Conclusion： Comprehensive rehabilita- tion form of families, communities, and the cooperation between government departments, is beneficial to promote stable condition of the schizophrenia patients, reduce the impulse behavior.