社区康复措施在康复期精神分裂症患者中的应用效果观察

摘要

目的 探讨社区精神康复服务与家庭干预等社区康复措施对康复期精神分裂患者的疗效.方法 将本院辖区内46 例精神分裂症患者随机分为社区康复组和单纯药物治疗组,两组患者均给予抗精神病药物治疗,社区康复组在此基础上给予社区精神卫生服务与家庭干预,分别于治疗前、治疗后3 个月、6 个月、12个月对两组患者进行社会功能缺陷筛选量表(SDSS)、康复状态量表(MRSS)评分,并计算两组患者的复发率、再住院率、再就业率.结果 两组患者3 个月SDSS、MRSS评分差异无统计学意义(P>0.05),而社区康复组6 个月、12 个月的SDSS、MRSS评分以及复发率、再住院率显著低于单纯药物组(P<0.05),而再就业率显著高于单纯药物组(P<0.05).结论 在药物治疗的基础上,给予精神分裂患者社区康复措施可以显著减轻患者症状,提高患者的生活质量,并改善患者的社会适应能力.%Objective To investigate the efficacy of community-based rehabilitation (CBR) measure for patients with schizophrenia, such as community-based mental health services, family intervention. Methods Forty-six patients with schizophrenia under the jurisdiction of our hospital were randomly divided into two groups: CBR group (received community-based rehabilitation such community-based mental health services and family intervention, plus drug treatment) and SD group (drug treatment only). The social Disability Screening scale (SDSS), rehabilitation status Scale (MRSS) score were compared before treatment and 3 months, 6 months, 12 months af-rnter treatment. The recurrence rate, readmission rate and reemployment rate were compared after the treatment between the two groups.Results There were no statistically significant difference between the two groups in SDSS, MRSS score 3 months after treatment (P>0.05). In the CBR group, the SDSS, MRSS score 6 months and 12 months after treatment, the recurrence rate, readmission rate were significantly lower than those in the SD group(P<0.05), while the reemployment rate was significantly higher than that in the SD group(P<0.05). Conclusion On the basis of drug treatment, community-based rehabilitation measures for schizophrenic patients can significantly reduce the patient's symptoms, improve the quality of life and improve the patient's social adaptability.