首次住院精神分裂症患者管理模式与疗效的相关性调查  

Correlation studies of management mode and curative effects in first-hospitalized schizophrenics

作　　者：刘晓梅[1] 徐娟[1] 

机构地区：[1]惠州市第二人民医院,广东惠州516000

出　　处：《临床心身疾病杂志》2010年第1期29-30,共2页Journal of Clinical Psychosomatic Diseases

摘　　要：目的 探讨首次住院精神分裂症患者住院管理模式与临床疗效的关系，为住院精神分裂症患者的住院管理提供科学依据。方法对首次住院，且采取不同管理模式的66例精神分裂症患者的一般资料、发病周期、住院时间、临床疗效、复发率进行统计分析。结果首次住院的66例精神分裂症患者中实施开放式管理27例，封闭式管理39例，两组性别、年龄、发病周期均无显著性差异（X^2=0.60，t=1．05或1．75，P均〉0．05）；开放式管理的患者住院周期较封闭式管理患者短（F3．44，P〈0．01）、疗效好（t=7．53，P〈0．01），随访1a内复发率低（X^2=4．32，P〈0．05）。结论自由、宽松的开放式管理减少了不良环境的刺激，减轻了患者的自卑感，提高了治疗依从性，促进了患者社会功能的康复。Objective To explore the relationships between hospitalization management mode and clinical curative effects in first-hospitalized schizophrenics in order to provide science basis for hospitalization management of hospitalized schizophrenics. Methods Such indexes were statistically analyzed in 66 first-hospitalized schizophrenics receiving different management modes as general data, disease cycle, length of stay, curative effects and relapse rate . Results Of the 66 patients, 27 received opened management and 39 did closed management, there were no significant differences in gender, age and disease cycle（x^2= 0.60,t= 1.05 or 1.75, all P〉0.05） ;compared with closed management, hospitalized period was shorter （t=3.44, P〈0.01）,curative effect better（t=7.53,P〈0.01） and relapse rate lower within 1 year of fol- low-up（X^2=4.32, P〈0. 05）in patients receiving opened management. Conclusion Free loose opened management reduces the stimulus of unhealthy environment, relieves patients＇ sense of inferiority , increases treatment compliance and promotes patients＇ rehabilitation of social function.

关 键 词：精神分裂症 首次住院 开放管理 封闭管理 

分 类 号：R749.3[医药卫生—神经病学与精神病学]