个体服务计划对农村社区精神分裂症患者康复的影响

摘要

目的:探讨个体服务计划(ISP)社区康复管理模式对农村精神分裂症患者康复的影响.方法:按随机数字表法将2个乡镇110例精神分裂症患者分为研究组和对照组各55例,并分别实施ISP社区康复管理模式或现行的社区管理模式6个月.患者入组时、入组后3及6个月给予自知力与治疗态度问卷(ITAQ)、服药依从性量表评定;比较1年后两组的复发率.结果:干预前两组患者ITAQ总分、治疗依从性比较差异均无统计学意义;干预后3及6个月时两组ITAQ总分较基线显著提高(P均<0.01);且研究组ITAQ评分及服药依从性明显高于对照组(P均<0.01);随访1年研究组复发率(24.53%)显著低于对照组(43.14%)(P<0.05).结论:ISP社区康复管理模式对改善农村精神分裂症患者的自知力、提高治疗依从性、降低复发率有一定的作用.%Objective:To explore the effect of individual service plan (ISP)community rehabilitation management mode on rehabilitation of rural schizophrenia patients. Method:According to random number ta-ble method,110 patients with schizophrenia in the rehabilitation from two townships were divided into research group (55 cases)and the control group (55 cases),and reseved ISP community rehabilitation management mode or the current community management mode respectively for 6 months. All of the patients were assessed by intervention with insight and treatment attitude questionnaire (ITAQ),medication compliance scale at before the intervention,3 and 6 months after the intervention. The recurrence rate of the two groups was compared after year of the follow up. Results:The scores of ITAQ and medication compliance of the two groups had not statistical-ly difference before the intervention;After 3 and 6 months of the intervention,the scores of ITAQ of the two groups were significantly increseased than before (all P<0. 01);and the scores of ITAQ and medication com-pliance in the research group were significantly higher than those in the control group (all P<0. 01). Year of follow-up the recurrence rate in the research group (24. 53%)was significantly lower than the control group (43. 14%)(P<0. 05). Conclusion:ISP community management mode to improve self-knowledge,impro-ving treatment compliance and reduce recurrence rates in rural schizophrenia patients has certain effect.