精神分裂症患者社区治理效果及影响因素分析  

An analysis on associated factors and the efficacy of sectionalized supervision and treatment on the community-based schizophrenics

作　　者：高镇松[1] 罗明强[1] 郭婵娥[1] 李章[1] 陈政雄[1] 吴民吉[1] 吴祥水[1] 陈耿谊[1] 林伟松[1] 

机构地区：[1]汕头市第四人民医院,515021

出　　处：《上海精神医学》2004年第3期168-171,共4页Shanghai Archives of Psychiatry

摘　　要：目的　探讨社区精神分裂症分区化管治效果及影响因素。方法　对 2 78例社区精神分裂症患者实施分区化管治 ,分析管治前后的治疗情况、病情变化、社会功能、社会影响和社会危害 ,并分析管治效果的影响因素。结果　分区化管治效果显著 ,规则治疗率由 2 9.5 %提高到 92 .1% ,总有效率由4 6 .4 %提高到 97.1% ;影响管治效果的因素依次为康复时间、病程、初次治疗时的疗效、服药依从性和药物副作用。结论　分区化管治有利于社区精神分裂症的康复 ;康复时间短和病程长是康复效果差的主要影响因素。Objective: The aim of the study was to analyze the associated factors and the efficacy of sectionalized supervision and treatment on the community-based schizophrenics. Methods: 278 community-based schizophrenics were managed and treated with sectionalized programs. The data were compared before and after 2 years of sectionalized programs. The factors associated with the efficacy of sectionalized programs were analyzed. Results: The sectionalized programs showed significantly better efficacy. The rate of regular treatment increased from 29.5% to 92.1%. And the total efficiency increased from 46.4% to 97.1%. The associated factors were rehabilitation time, course, the first-treatment efficacy, drug compliancy and side effects. Conclusion: Sectionalized supervision and treatment are helpful to rehabilitation of community-based schizophrenics. The main factors of poor efficacy on rehabilitation are the shorter rehabilitation time and the longer course.

关 键 词：精神分裂症 影响因素 社区 康复 分区化管治 

分 类 号：R749.3[医药卫生—神经病学与精神病学]