常熟市重性精神患者社区综合干预效果研究  

Effect of community comprehensive intervention for heavy psychiatric patients in Changshu

作　　者：张惠清[1] 王萍[1] 张祥辛 张丽芳[1] 周明生[1] 宋静波[1] 杨忠[1] 

机构地区：[1]常熟市第三人民医院精神科,江苏常熟215501

出　　处：《海南医学》2013年第15期2236-2238,共3页Hainan Medical Journal

基　　金：常熟市卫生局资助性项目(编号:csws201116)

摘　　要：目的评估常熟市重性精神患者社区综合干预效果。方法通过比较干预前后200名重性精神患者的病情控制、肇事肇祸危险性、服药依从性、康复状况和社会功能情况,综合评估社区综合干预效果。结果社区综合干预后重性精神患者病情稳定(包括基本稳定)率由79.7%上升至94.4%,重性精神患者规律服药率由干预前的75.7%上升至87.0%,进行社区综合干预后重性精神病患者肇事肇祸危险性有下降趋势,应用Morningside康复状态量表(MRSS)、社会功能缺陷筛选量表(SDSS)对患者干预前后的康复状态和社会功能状态分别进行测量和对比分析,结果表明干预后患者的康复情况和社会功能情况显著高于干预前的水平。结论社区综合干预措施对社区重性精神患者服药依从性的提高、病情的控制、肇事肇祸风险的降低以及康复状态和社会功能的改善均有显著效果。Objective To assess the effect of community comprehensive intervention for heavy psychiatric patients in Changshu. Methods The effect of community comprehensive intervention before and after intervention was comprehensively assessed through comparing the disease control, accident risk, medical compliance, rehabilita- tion status and social functions. Results After the community comprehensive intervention, the proportion of stable patients （including basic stable patients） rose to 94.4% from 78.0%, the rate of medical compliance rose to 87.6% from 74.0%, the accident risk has a downward trend, the rehabilitation status and social functions analyzed by Morn- ingside Rehabilitation Status Scale （MRSS） and Social Disability Screening Schedule （SDSS） has significantly im- proved. Conclusion For heavy psychiatric patients, community comprehensive intervention results in a significantly improvement in the disease control, accident risk reduction, medical compliance improvement, as well as rehabilita- tion status and social functions.

关 键 词：精神病 社区防治 社会功能 干预效果 

分 类 号：R749.05[医药卫生—神经病学与精神病学]