家庭干预促进精神分裂症患者社会康复  

Effect of Family Intervention on Patients with Schizophrenia

作　　者：张明廉[1] 袁国桢[1] 倪素琴[1] 季庆[1] 陈晓刚[1] 周德祥[1] 

机构地区：[1]南京医科大学附属无锡市精神卫生中心精神科,江苏无锡214151

出　　处：《中国康复》2006年第6期425-427,共3页Chinese Journal of Rehabilitation

基　　金：江苏省无锡市科技发展项目(CS045010)

摘　　要：目的:观察家庭干预对精神分裂症患者的综合性治疗效果。方法:160例精神分裂症患者随机分为家庭组和封闭组各80例,均接受药物治疗,家庭组同时进行家庭心理干预。采用简明精神病量表(BPRS)评定治疗效果、社会功能残疾评定量表(DAS)和生活质量量表(QOULI)评定患者的残疾程度和生活质量。结果:家庭组平均住院天数明显短于封闭组(56±7 d7、8±18 d,P<0.05);痊愈和显著进步率明显高于封闭组(72.2%、43.5%,P<0.01),无效或恶化率明显低于封闭组(8.3%、24.6%,P<0.001)。随访2年,家庭组BPRS、DAS量表分及再住院率均明显低于封闭组(P<0.05和0.01)。QOULI量表分明显高于封闭组(P<0.01)。结论:精神分裂症患者在药物控制症状的同时给予家庭干预更有利于精神分裂症患者精神症状的改善,降低社会残疾程度、改善社会功能、缩短住院时间和减少再住院率。Objective： To study the effectiveness of family intervention in treating patients with schizophrenia. Methods; 180 patients with schizophrenia were randomly divided into family group （n= 80） and control group （n = 80）, receiving drug treatment and family intervention, and drug treatment only respectively. All the patients were assessed by the Brief Psychiatric Scale （BPRS）, Results; The average hospital stay （days） in family group was obviously shorter than in control group （P〈0. 05）. Curative effectiveness in family group was more satisfactory than in control group （P〈 0.05）, The scales of BPRS in family group were lower than in control group （P〈0.05）, The social function and quality of life in family group were better than in control group （P〈0.01）. Conclusion： Family intervention can enhance the efficacy, improve the social function, shorten hospital stay and reduce the readmission rate.

关 键 词：精神分裂症 家庭干预 疗效 社会功能 生活质量 

分 类 号：R49[医药卫生—康复医学] R749.3[医药卫生—临床医学]