慢性病管理对康复期精神分裂症患者康复效果的影响

Effects of chronic disease management on rehabilitation outcome of convalescence schizophrenia

目的探讨慢性病管理对康复期精神分裂症患者康复效果的影响。方法将268例精神分裂症患者按随机数字表法分为管理组与对照组，每组134例。管理组采用以人为中心、以家庭为单位、以整体健康的维护与促进为方向的综合、连续、协调、可及的人性化全科医疗服务模式加以干预，对照组采取传统模式管理。随访2a。结果随访2a后，管理组家属对疾病复发表现认知、药物不良反应认知及督促患者服药率均显著高于对照组（P〈0．01）；患者服药依从性显著好于时照组（P〈0．01），复发率显著低于对照组（P〈0．01）。结论全科医疗服务慢性病管理能显著提高患者家属对疾病的认知水平，有利于改善患者的服药依从性及社会功能，降低复发率，是精神分裂症患者社区康复的有效服务模式。

Objective To explore the effects of chronic disease management on rehabilitation outcome of convalescence schizophrenia. Methods A total of 268 schizophrenics were assigned to management and control group of 134 ones each according to random number table. Comprehensive, continuous, harmonious and accessible humane general medical service model characterized by people-centered, family-based and oriented overall health maintenance and promotion was given to management and traditional model manage ment to control group. They were observed for 2 years. Results After 2 year follow up relatives＇ cogni tion to relapse manifestations and adverse drug reactions as well as the rating of urging patients to taking medicine were significantly higher （P〈0.01）, treatment compliance better （P〈0.01）, and relapse rates lower （P〈0.01） in management than in control group. Conclusion Chronic disease management of gen eral medical service could notably improve relatives＇ cognition to illness, is beneficial to the improvement of treatment adherence and social function, lowers relapse rate, and is an effective service model of com- munity rehabilitation of schizophrenics.