基本公共卫生服务项目社区随访服务对首发精神分裂症患者康复的影响  

Effect of Basic Public Health Service Items Community Follow-up Services on the Recovery of Patients with Schizophrenia

作　　者：黄嵘[1] 周雷[1] 

机构地区：[1]青岛市精神卫生中心,山东青岛266034

出　　处：《中国卫生产业》2017年第16期188-189,共2页China Health Industry

摘　　要：目的探讨基本公共卫生服务项目社区随访服务对延缓首发精神分裂症病患者病情复发及社会功能康复的作用。方法将100例首发精神分裂症患者按随机原则分为试验组50例及对照组50例。对试验组进行1年4次随访服务,每次随访用BPRS量表评价患者病情;出院1年后用SDSS量表评价患者社会功能缺陷情况;比较两组患者出院后的服药依从情况及复发情况。结果出院第6、12个月试验组患者BPRS评分明显低于对照组(P<0.01)。出院第12个月两组间SDSS评分第1、5、6、9、10项及总分差异有统计学意义(P<0.05)。服药依从性试验组明显好于对照组(P<0.01)。复发率试验组明显低于对照组(P<0.01)。结论基本公共卫生服务项目社区随访服务能有效地预防首发精神分裂症患者复发及促进其社会功能康复。Objective To study the effect of basic public health service items community follow-up services on the occurrence of disease and recover of social function of patients with Schizophrenia. Methods 100 cases of patients with schizophrenia in our hospital were randomly divided into two groups with 50 cases in each, the test group were given four follow-up services in 1 year, and the disease of patients was evaluated by the BPRS scale, and the social function defect situation of patients was evaluated by the SDSS scale after 1-year discharge, and the medication compliance and recurrence of the two groups were compared between the two groups. Results The BPRS score in the test group in 6 months and 12 months after discharge were obviously lower than those in the control group（P〈0.01）, and the 1,5,6,9,10 scores in SDSS scale and total score after 12-month discharge were obviously significant（P〈0.05）,and the medication compliance in the test group was obviously better than that in the control group（P〈0.01）, and the recurrence rate in the test group was obviously lower than that in the control group（P〈0.01）. Conclusion The basic public health service items community follow-up service can effectively prevent the recurrence of patients with Schizophrenia and promote the recovery of social function.

关 键 词：社区随访 首发精神分裂症 康复 

分 类 号：R473.2[医药卫生—护理学]