综合干预模式对社区慢性严重精神障碍患者的效果观察

Efficacy of comprehensive intervention mode in community patients with chronic severe psychonosema

目的 了解综合干预模式对社区慢性严重精神障碍患者的效果。方法 40例慢性严重精神障碍患者随机分成实验组和对照组,实验组每隔15 d实施一次综合干预模式,对照组每隔30 d实施一次基础干预模式。以15 d为1个时点,共观察7个时点,分别用简明精神量表(BPRS)、社会功能评估量表(SDSS)评价精神病症状、社会功能。比较两组BPRS和(或)SDSS评分。结果 实验组2~6时点BPRS评分低于同时点对照组(P<0.01),5、6时点SDSS评分低于同时点对照组(P<0.05),2~6时点综合评分低于同时点对照组(P<0.01)。结论 综合干预模式能使社区慢性严重精神障碍患者获益。

Objective To observe the efficacy of comprehensive intervention mode(CIM) in community patients with chronic severe psychonosema(CSP). Methods Forty CSP patients were randomly treated with CIM once every half a month(experimental group) or basic intervention mode once monthly(control group). Psychotic symptoms and social function were respectively evaluated by Brief Psychiatric Rating Scale(BPRS) and Social Disability Screening Schedule(SDSS) at 7 timepoints(1 time-point representing 15 days). The BPRS and/or SDSS scores were compared between two groups. Results Compared with control group, BPRS scores at 2-6 time-points, SDSS scores at 5 and 6 time-points, and total scores at 2-6 timepoints were lower in in experimental group(P<0.01-0.05). Conclusion CIM is effective for CSP.