个体化全病程管理对精神分裂症患者认知及社会功能的影响研究

The Effect of Individualized Whole Course Management on Cognitive and Social Function of Patients with Schizophrenia

目的:探讨个体化全病程管理对精神分裂症患者认知及社会功能的影响。方法:选取2013年6月-2015年6月本院收治的162例精神分裂症患者为研究对象,根据治疗管理方式不同分为对照组和试验组,各81例。对照组患者采取常规精神分裂症的管理方式,而试验组则进行个体化全病程管理。对比两组患者的认知及社会功能改善的情况,以评估个体化全病程管理对精神分裂患者的临床应用价值。结果:与干预前比较,两组患者干预后的社会功能缺陷均有不同程度的改善,且试验组的改善效果更为显著,差异均有统计学意义(P<0.05);与干预前比较,两组患者干预后的生活质量均有不同程度的提高,且试验组的改善效果更为显著,差异均有统计学意义(P<0.05);试验组患者的用药依从率为92.6%,显著高于对照组的81.5%,差异有统计学意义(P<0.05);试验组患者治疗后1年内再次复发的概率为12.3%,显著低于对照组的25.9%,差异有统计学意义(P<0.05)。结论:精神分裂症患者给予个体化全病程管理能够显著改善患者社会功能缺陷的状况,提高患者的生活质量,同时也可以提高患者的用药依从性,降低疾病复发率,具有临床推广价值。

Objective：To discuss the effect of individualized whole course of schizophrenia on cognitive and social function of schizophrenic patients.Method：162 patients with schizophrenia in our hospital from June 2013 to June 2015 were selected as research objects,according to the different ways of treatment,the patients were divided into control group and experimental group,81 cases in each group.The control group was treated with routine schizophrenia,while the experimental group was treated with individualized the whole course of disease management.The cognitive and social function of patients after intervention in two groups were compared,the clinical application value of individualized whole course of disease management in patients with schizophrenia was evaluated.Result：Compared with before intervention,the postoperative social function defects of the two groups were improved to varying degrees,and the improvement effect of the experimental group was more significant,the differences were statistically significant（P〈0.05）.Compared with before intervention,the quality of life of the two groups after treatment were improved to varying degrees,and the improvement effect of the experimental group was more significant,the differences were statistically significant（P〈0.05）.The compliance rate of the experimental group was 92.6%,which was significantly higher than 81.5% of the control group,the difference was statistically significant（P〈0.05）.The probability of recurrence was 12.3% in the experimental group after treatment,which was significantly lower than 25.9% of the control group,the difference was statistically significant（P〈0.05）.Conclusion：Individualized whole course management of schizophrenic patients can significantly improve the patients＇ social function deficits and improve their quality of life,at the same time can improve the compliance of patients with medication,reduce the probability of disease recurrence,with the clinical value of the promotion.