全病程管理对精神分裂症患者康复效果的研究

摘要

目的：探讨全病程管理对精神分裂症患者的康复效果。方法：将100例免费服药的精神分裂症患者随机分成干预组、对照组。对照组患者常规精神科免费门诊，干预组患者由全病程干预团队对其实施定期的门诊、健康教育、康复指导、心理辅导等。所有研究对象在入组时、入组后每3个月进行一次康复状态量表( MRSS)、自知力与治疗态度问卷( ITAQ)、自制药物依从性量表评估，每6个月进行一次阳性和阴性症状量表(PANSS)评估。结果：干预组患者的PANSS、MRSS、ITAQ指标在6个月时明显优于对照组，差异有统计学意义(P<0.05)，药物依从性两组患者没有明显差异，统计学无意义(P>0.05)。结论：对精神分裂症患者实施全病程管理，有利于控制患者的精神症状、提高康复水平、改善认知，从而促进患者全面康复。%Objective:To explore rehabilitation effects of whole course management in patients with schizophrenia. Methods:100 cases of patients with schizophrenia taking free drugs were randomly divided into intervention group and control group. The control group visited routine psychiatric outpatient free service, while the intervention group was given the regular outpatient service, health ed-ucation, rehabilitation guidance, psychological counseling and the like by the whole course intervention team. All the research subjects were assessed with morningside rehabilitation status scale (MRSS), insight and treatment attitude questionnaire (ITAQ) and self-made adherence scale assessment at enrollment and every 3 months after the enrollment, and were evaluated with positive and negative symptom scale (PANSS) every 6 months after the enrollment. Results: At the 6th month of the intervention, PANSS, MRSS, and ITAQ indexes of intervention group were significantly better than those of control group, and the differences were statistically significant (P<0. 05);however, there was no statistically significant difference in drug compliance between the two groups (P>0. 05). Conclu-sions:The whole course management in the patients with schizophrenia is helpful for control of the patient's mental symptoms, and im-prove the level of rehabilitation and cognition, thereby promoting comprehensive rehabilitation of the patients.