社会家庭支持干预对精神病患者生存质量的影响

Effect of social family support intervention on life quality of patients with mental disorders

目的探究社会家庭支持干预对精神病患者生存质量的影响。方法选取2011年1月—2014年12月本院收治的100例精神病患者作为研究对象,随机分为对照组和观察组各50例。对照组实施常规护理,观察组在常规护理基础上增加社会家庭支持干预措施。采用社会功能缺陷筛选量表(social disability screening schedule,SDSS)和生活质量综合评定问卷(generic quality of life inventory,GQOLI-74)对两组患者干预前后的社会功能及生存质量进行调查对比。计量资料组间比较采用t检验,组内比较采用配对t检验,P<0.05为差异有统计学意义。结果观察组患者干预前、后SDSS评分分别为(15.5±3.1)、(8.7±2.9)分,对照组分别为(15.4±3.2)、(11.7±3.5)分,干预后两组SDSS评分均较干预前显著降低,且干预后观察组显著低于对照组,差异均有统计学意义(均P<0.05)。干预后,观察组躯体健康、心理健康、社会功能和物质生活评分分别为(48.6±3.5)、(49.6±3.5)、(51.5±3.9)、(47.8±3.4)分,均优于干预前的(41.1±3.3)、(35.4±3.2)、(36.5±3.7)、(38.3±3.3)分,差异均有统计学意义(均P<0.05)。干预后,观察组GQOLI-74各项评分均显著高于对照组[(41.3±4.0)、(42.4±3.9)、(37.2±3.9)、(40.6±4.3)分],差异均有统计学意义(均P<0.05)。结论加强精神病患者的社会家庭支持干预能够改善患者的社会功能缺陷,提高患者的整体生存质量,值得在临床上推广和应用。

Objective To explore the social and family support interventions for psychiatric patients on quality of life.Methods 100 cases of psychiatric patients from January 2011 to December 2014 were selected and randomly divided into control group and observation group（n-50）.The patients in control group were implemented by routine care,the patients in observation group were im- plemented by family support interventions on the basis of control group.The social function and life quality of the patients before and after treatment was researched by social disability screening schedule（SDSS） and comprehensive assessment of the quality of life questionnaire genetic quality of hfe inventory （GQOLI-74）.Measurement data between groups were processed by t test,in groups were processed by paired t-test,P〈0.05 was considered statistically significant.Results The SDSS scores of observation group before and after intervention were （15.5± 3.1）,（8.7 ± 2.9） points,in control group were （15.4 ±3.2）,（11.7± 3.5）points,the scores of the two groups after intervention were lower than that before intervention,the score of observation group after intervention was significantly lower than the control group,the differences were statistically significant（all P〈0.05）.After intervention,the physical health, mental health,social functioning and material life scores of observation group were （48.6 ± 3.5）,（49.6 ± 3.5）,（51.5± 3.9）,（47.8 ± 3.4） points,better than that before intervention [（41.1 ± 3.3）,（35.4 ± 3.2）,（36.5 ±3.7）,（38.3 ± 3.3）points],the differences were statistically significant（all P〈0.05）.After intervention,the GQOLI-74 scores of control group[（41.3 e 4.0）,（42.4 ± 3.9）,（37.2 ± 3.9）,（40.6 ± 4.3） pointstweresignints antlywerthanthe bservatin grup the diereneswerestatistic alysignican（all P〈0.05）.Conclusion Strengthening social and family support interventions with mental illness can improve social dysfunction patients and improve the overall quality of life ,should be promoted and applied in clinical practice.