家访服务在预防精神分裂症复发中的积极作用  

ACTIVE EFFECT OF HOME VISITING ON SCHIZOPHRENICS RELAPSE

作　　者：段武钢[1] 曾德志[1] 罗建武[1] 樊学文 顾桂英[1] 周卫东[1] 周桂明[1] 

机构地区：[1]湖北咸宁学院附属第二医院,咸宁437100

出　　处：《现代预防医学》2010年第24期4645-4646,4649,共3页Modern Preventive Medicine

摘　　要：[目的]探讨家访服务在预防精神分裂症患者复发中的积极作用。[方法]将200例精神分裂症患者随机分为家访组和对照组各100例,家访组患者出院后接受为期1年的家访服务,对照组按常规进行维持治疗,不接受其他干预。在出院时和出院后1年末,用阳性和阴性综合征量表(PANSS)以及社会功能缺陷筛查量表(SDSS)评定患者病情和社会功能变化,判定是否复发,用副反应量表(TESS)评定不良反应。[结果]家访组患者出院后1年末PANSS和SDSS评分低于对照组,复发率和再入院率也低于对照组,差异有统计学意义,TESS评定2组间无明显差异。[结论]家访服务有利于精神分裂症患者病情稳定和社会功能恢复,减少复发。[Objective]To explore the active effect of home visiting on schizophrenics relapse.[Methods]All 200 patients with schizophrenia diagnosed according to CCMD-3 criteria were randomly assigned into the experimental group and the control group.Each group had 100 cases.The experimental group received home visiting for one year.The Positive and Negative Syndrome Scale（PANSS）and Social Disability Screening Schedule（SDSS）and Treatment Emergent Side effect Scale（TESS）were used to evaluate the efficacy of the patients rehabilitation and adverse effect respectively.[Results]In the end of first year of discharging,the scores of PANSS and SDSS in the experimental group were significantly lower than those in the control group.The rate of relapse and re-admission to the hospital was significantly lower than controls.But the scores of TESS had no significant difference between the two groups.[Conclusion]Home visiting can significantly improve rehabilitation of the patients with schizophrenia and decrease the rate of relapse and re-admission to the hospital.

关 键 词：家访服务 精神分裂症 复发 

分 类 号：R749.3[医药卫生—神经病学与精神病学]