同伴支持服务对慢性精神分裂症患者生活质量的影响

Effect of peer support services on quality of life in patients with chronic schizophrenia

目的探讨同伴支持服务对慢性精神分裂症患者生活质量的影响.方法将100例慢性精神分裂症患者按照随机数字表法分为研究组和对照组,各50例.两组均给予相同的治疗、康复措施和健康教育,研究组在此基础上给予同伴支持服务,观察3个月.干预前后采用阴性症状量表评定两组患者阴性症状的严重程度,采用生活质量综合评定量表评定两组患者的生活质量.结果干预2个月末起两组阴性症状量表评分均较干预前显著持续下降(P<0.05或0.01),干预3个月末研究组评分显著低于对照组(P<0.01).干预3个月末研究组生活质量综合评定量表躯体功能、心理功能、社会功能评分及总评分均显著高于干预前(P<0.05或0.01),且显著高于对照组(P<0.05或0.01).结论同伴支持服务可以显著改善慢性精神分裂症患者的阴性症状,提高生活质量,促进康复.

Objective To investigate the impact of peer support services on quality of life in patients with chronic schizophrenia.Methods 100 patients with chronic schizophrenia were divided'into study group and control group according to random number table,50 cases each.Both groups were given the same treatment,rehabilitation measures and health education.On the basis of this,the study group was given peer support services for 3 months.Before and after the intervention,SANS was used to assess the severity of negative symptoms in the two groups.GQOLI-74 was used to assess the quality of life of the two groups.Results At the end of 2 months,the SANS scores of the two groups were significantly lower than those before the intervention(P<0.05 or 0,01).The score of the study group was significantly lower than that of the control group at the end of 3 months(F<0.01).At the end of 3 months,the physical function,psychological function,social function score and total score of GQOLI-74 in the study group were significantly higher than those before the intervention(PV0.05 or 0.01),and significantly higher than the con trol group(P<0.05 or 0.01).Conclusions Peer support services can significantly improve negative symptoms,improve quality of life and promote recovery in patients with chronic schizophrenia.