贫困家庭重性精神病患者接受免费救治后的危险行为改变  

Risky behavior changes in patients with severe psychosis in poor families after receiving free treatment

作　　者：朱骅 朱春凤 黄腊根 ZHU Hua;ZHU Chunfeng;HUANG Lagen(The Third Ward of Corelle Hospital of Zhangshu,Jiangxi Province 331211,China)

机构地区：[1]江西康宁医院三病区,江西樟树331211

出　　处：《上海医药》2018年第16期38-40,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探讨贫困家庭重性精神病患者接受免费救治后的危险行为改变。方法:选取2013年11月至2015年1月在江西康宁医院接受住院治疗的240例贫困家庭重性精神病患者,年龄18~60岁,随机分为观察组和对照组。在观察组120例患者中,男性79例,女性41例,平均年龄(33.26±8.58)岁,在对照组120例患者中,男性80例,女性40例,平均年龄(32.76±8.24)岁。观察组接受免费救治的系统治疗干预,对照组接受常规住院和门诊治疗。结果:治疗后观察组患者的焦虑抑郁、缺乏活力、思维障碍、激活性、敌对猜疑和简明精神病量表(BPRS)总评分均明显低于对照组,差异均有统计学意义(P<0.05);个人与社会功能量表(PSP)评分明显高于对照组,差异有统计学意义(P<0.05)。结论:对贫困家庭重性精神病患者实施免费救治的系统治疗干预,可以较好的缓解患者的危险行为。Objective： To explore the changes of risky behaviors in patients with severe psychosis in poor families after receiving free treatment. Methods： From November 2013 to January 2015, 240 patients with severe psychosis from poor families aged 18 to 60, who came to our hospital for hospitalization, were selected. Of the 120 patients in the observation group, 79 were males and 41 were females, with an average age of （33.26±8.58） years. Among the 120 patients in the control group, 80 were males and 40 were females, with an average age of （32.76 ± 8.24） years. The observation group received a free systemic treatment intervention, and the control group received regular inpatient and outpatient treatment. Results： After treatment, anxiety, depression, inactivity, thinking disorder, activation, hostile suspicion and total score of brief psychiatric rating scale（BPRS） of the observation group were signifcantly lower than those of the control group, and the diference was statistically signifcant（P〈0.05）; the score of personal social function scale（PSP） of the observation group was signifcantly higher than that of the control group, and the diference was statistically signifcant（P〈0.05）. Conclusion： The implementation of free treatment system intervention for patients with severe psychosis in poor families can better relieve the risk behavior of patients.

关 键 词：重性精神病 免费救治 贫困家庭 危险行为 

分 类 号：R749[医药卫生—神经病学与精神病学]