家访服务对首发精神分裂症患者生活质量的影响  

Influence of Home Visiting on the Life Quality of the First Episode Schizophrenics

作　　者：郑桂芝[1] 曾德志[1] 周卫东[1] 

机构地区：[1]咸宁学院附属第二医院精神科,湖北咸宁437100

出　　处：《中国康复》2007年第4期284-286,共3页Chinese Journal of Rehabilitation

摘　　要：目的:探讨家访对首发精神分裂症患者生活质量的影响。方法:100例首发精神分裂症患者随机分为家访组与对照组各50例,均接受系统抗精神病治疗,病情缓解达临床痊愈或显著进步后出院,给予常规出院指导;家访组患者出院后仍接受为期1年的家访,了解患者病情和落实治疗情况。2组均用阳性和阴性综合征量表(PANSS)、不良反应量表(TESS)和世界卫生组织生活质量量表(QOL-100)评价治疗前后的效果。结果:出院后1年末时TESS评分2组间差异无显著性意义;PANSS评分与出院时及对照组比较家访组患者显著下降,再入院率低于对照组,QOL-100评分明显高于出院时及对照组(均P<0.01)。结论:家访对提高首发精神分裂症患者生活质量有明显的促进作用。Objective： To explore the influence of home visiting on the life quality of the first episode schizophrenics. Methods： 100 first episode schizophrenics were randomly assigned into the study group and the control group （each group having 50 cases）. The study group received home visiting for one year. The Positive and Negative Syndrome Scale （PANSS） and WHO Quality of Life-100 （QOL-100） were used to assess the improvement of the patients＇ life quality and rehabilitation. The Treatment Emergent Side effect Scale （TESS） was used to evaluate the adverse effect. Results： After one year,The scores of TESS had no significant difference between the two groups; the scores of PANSS and the rate of re-admission to the hospital in the study group were lower significantly than those in the control group, But the scores of QOL-100 in the study group were higher significantly than those in the control group in one year. Conclusion： Home visiting can significantly improve the life quality of the first episode schizophrenics.

关 键 词：家访 精神分裂症 生活质量 

分 类 号：R473.2[医药卫生—护理学]