支持性心理干预联合社区日间康复训练对慢性精神分裂症患者的远期疗效  

Long term effect of supportive psychological intervention combined with community day rehabilitation training on patients with chronic schizophrenia

作　　者：薛峰[1] 徐奇[1] 姚志珍[1] 卢瑛[2] 

机构地区：[1]上海市浦东新区沪东社区卫生服务中心 [2]上海市浦东新区精神卫生中心

出　　处：《国际精神病学杂志》2016年第4期589-593,共5页Journal Of International Psychiatry

基　　金：上海市浦东新区卫生系统优秀社区适宜人才培养计划(PWRs2013-02);上海市浦东新区卫生系统学科带头人培养计划(PWRq2011-11)

摘　　要：目的探讨支持性心理干预联合社区日间康复训练对慢性精神分裂症患者的远期康复疗效。方法 2011年10月至2012年9月选取慢性精神分裂症患者,按照随机抽样方法,入选样本84例,随机分为两组:干预组和对照组,每组42例。干预组接受支持性心理干预和社区日间康复干预6个月,对照组按社区常规随访6月。12个月末采用采用阳性与阴性症状量表(PANSS)、康复量表(MRSS)、自知力与态度问卷调查(ITAQ)、复发率和再住院率评估两组的康复疗效。结果干预组、对照组患者入组时PANSS、MRSS以及ITAQ评分差异无统计学意义(P>0.05)。干预后干预组的PANSS总分及阴性量表分显著低于对照组,差异有显著性(P<0.05)、MRSS总分及依赖性、活动能力、社交能力较对照组下降,ITAQ评分显著高于对照组,差异有显著性(P<0.05),症状行为因子分两组无差异(P>0.05)。干预组复发率及再住院率显著低于对照组(P<0.05),差异具有统计学意义。结论支持性心理干预联合社区日间康复能更好地改善慢性精神分裂症患者的症状、提高其自知力,降低复发率和再住院率,对促进其康复水平有积极意义。Objective To explore the long term effect of supportive psychological intervention combined with community day rehabilitation training on patients with chronic schizophrenia. Method 84 patients with chronic schizophrenia were recruited from October 2011 to September 2012. All the patients in the study were divided into the control group and the intervention group,each group containing 42 cases. The control group were treated with community routine follow-up for 6 months,and the intervention group were administered supportive psychological intervention combined with community day rehabilitation training for 6 months,then 12 months after intervention comparing the scores of PANSS,MRSS and ITAQ as well as relapse rate and re-hospitalization rate for medical effect evaluation between the two groups Results There was no significant differences of PANSS,MRSS and ITAQ scores between the two groups before intervention（P0.05）.After intervention,the total score of PANSS and Negative Syndrome Scale score in the intervention group were lower than that in the control group,all the differences above were statistically significant（P0.05）. The total score of MRSS and the scores of dependence,activity and social ability in the intervention group were lower than that in the control group,and score of ITAQ was higher than that of the control group,all the differences above were statistically significant（P0.05）.However,there was no significant difference of symptom behavior factor score between the two groups（P0.05）.The relapse rate and re-hospitalization rate of the intervention group were lower than that in the control group,all the differences above were statistically significant（P0.05）. Conclusion Supportive psychological intervention combined with community day rehabilitation training can be better to improve the sympotoms and insight of patients with chronic schizophrenia,also reduce the relapse rate and re-hospitalization rate.It has positive meaning for the rehabilitation level.

关 键 词：精神分裂症 支持性心理干预 社区日间训练 康复 

分 类 号：R749.05[医药卫生—神经病学与精神病学]