精神分裂症合并慢性躯体疾病患者住院模式研究  

A comparative study of different hospitalization patterns in schizophrenic patients with chronic somatic diseases

作　　者：李盼盼[1] 张丽[2] 朱亚亚 张增[2] 王中刚[2] 陈景清[2] 

机构地区：[1]济宁医学院,山东济宁272013 [2]济宁市精神病防治院

出　　处：《精神医学杂志》2017年第4期286-290,共5页Journal of Psychiatry

基　　金：济宁市科技局科计划项目(编号:2015-103)

摘　　要：目的探讨不同的住院诊疗模式对精神分裂症合并慢性躯体疾病患者的效果。方法选取194例精神分裂症合并慢性躯体疾病新入院患者,随机分为研究组(联合诊疗,98例)和对照组(精神科诊疗,96例),采用阳性和阴性综合征量表(PANSS)、治疗中需处理的不良反应症状量表(TESS)、累计疾病分级评分表(CIRS-G)、自制满意度调查表等进行评估。结果研究组中住院大于6周患者的比例高于对照组(P<0.05)。出院时,研究组PANSS、CRIS-G、TESS评分低于对照组(P<0.05)。研究组有效率、满意度总分、总体满意率高于对照组(P<0.05)。结论精神障碍合并躯体疾病的联合诊疗对精神分裂症合并慢性躯体疾病患者的综合康复效果及满意度较好。Objective To compare the efficacy of different hospitalization patterns in schizophrenic patients with chronic somatic diseases. Methods A total of 194 schizophrenic patients with chronic somatic diseases were randomly divided into study group（98 cases） with psychiatric and somatic treatment and control group（96 cases） with only psychiatric treatment. They were assessed with Positive and Negative Syndrome Scale （PANSS） , Treatment Emergent Symptom Scale （TESS） , Cumulative Illness Rating Scale for Geriatrics （ CIRS-G） and self-designed satisfaction questionnaire. Results The ratio of patients whose hospitalization days were more than 6 weeks in study group was significantly higher than that in control group （ P 〈 0. 05 ） . At the time of leaving hospital, the scores of PANSS, TESS and CRIS-G in study group were all significantly lower than those in control group （P 〈0. 05） . The effective rate, total scores of satisfaction and satisfaction rate in study group were all significantly higher than those in control group （P 〈 0. 05 ）. Conclusion There is good clinical efficacy and satisfaction for the psychiatric and somatic treatment in the schizophrenic patients with chronic somatic diseases.

关 键 词：精神分裂症 慢性躯体疾病 合并躯体疾病科 临床干预 

分 类 号：R749.3[医药卫生—神经病学与精神病学]