精神分裂症患者实施以家庭为中心的干预对其预后及照顾者心理状况的影响  

Influence of family-centered intervention on prognosis and psychological condition for schizophrenic patients

作　　者：王文军[1] 邱大宏 巫秋玲[2] 黎秀珍 陈艺军[1] 吴丽敏[1] 徐娟[1] 黄群明 李美娟[1] 卢芸凌[2] 

机构地区：[1]广东省惠州市第二人民医院,广东惠州516001 [2]广州市脑科医院,广东广州510370 [3]广东省第三荣军医院,广东博罗516157

出　　处：《中国医药科学》2015年第13期213-217,共5页China Medicine And Pharmacy

摘　　要：目的 探究精神分裂症患者实施以家庭为中心的干预方案对其病情预后及照顾者情绪状态的影响,并为这类患者群体提供优质医疗服务积累经验。方法 选取我院精神科于2010年5月~2011年12月“痊愈出院”的精神分裂症患者160例,设为对照组,出院后给予抗精神病药物长期维持治疗且做好院前健康宣教。选取我院精神科于2012年1月~2013年8月“痊愈出院”的精神分裂症患者180例,设为研究组,在对照组基础上开展以家庭为中心的干预措施。并对两组患者开展为期1年的追踪随访,并记录两组患者干预期间临床症状改善程度、社会功能恢复情况、用药依从性及疾病复发率,同时比较两组家庭照护者的心理状况。结果 两组患者在出院当天BPRS及SDSS值差异无统计学意义（P〉0.05）;研究组患者出院后第3、6、12个月末的BPRS及SDSS评分均低于对照组（P〈0.05）。两组家庭照护者在出院当天的SCL-90评分差异无统计学意义（P〉0.05）;干预后12个月末,研究组家庭照护者的各项SCL-90评分均低于对照组（P〈0.05）。干预后第12个月末,研究组服药依从性高于对照组（P〈0.05）,病情复发率低于对照组（P〈0.05）。结论 以家庭为中心的干预方案应用于精神分裂症患者,可有效改善患者预后,并能缓解照护者负性情绪,取得较为可观的临床成效。Objective To explore the influence of family-centered intervention on prognosis and psychological condition for schizophrenic patients and collect experience of providing high-quality medical service for this group of patients. Methods 160 patients with Schizophrenia who were recovered from the department of psychiatry in our hospital from May 2010 to December 2011 were selected as control group, and they were given long-term antipsychotics and after discharging from hospital and health education before leaving hospital. 180 patients with schizophrenia who were recovered from the department of psychiatry in our hospital from January 2012 to August 2013 were selected as research group, which was further treated with family-centered intervention. Improvement of clinical symptom, social function, medication compliance and recurrence rate of two groups were recorded after one year＇s follow-up visit, and the psychological conditions of family tenders of two groups were compared. Results The differences in BPRS and SDSS between two groups were not statistically significant on the day of discharge （P〉0.05）. BPRS and SDSS scores of research group at the end of third month, sixth month and twelfth month after discharging were all lower than those of control group （P 〈 0.05）. The difference in SCL-90 score of family tenders of two groups on the day of discharge was not statistically significant （P〉0.05）. The SCL-90 score of family tender of research group after twelve months＇ intervention was lower than that of control group （P 〈 0.05）. Medication compliance of research group after twelve months＇ intervention was higher than that of control group （P 〈 0.05）. The recurrence rate of research group was lower than that of control group （P 〈 0.05）. Conclusion The application of family centered intervention in schizophrenic patients can improve prognosis and alleviate tenders＇ negative emotion, which can achieve great clinical effect.

关 键 词：精神分裂症 家庭护理 预后康复 照顾者 心理状况 

分 类 号：R473.2[医药卫生—护理学] R749.3[医药卫生—临床医学]