心理健康教育多元家庭治疗对精神分裂症患者家属负担情况的影响  

Effects of psycho-educational multifamily group therapy on family burden of patients with schizophrenia

作　　者：乔云栓 张士巧 崔卫东 李静 QIAO Yunshuan;ZHANG Shiqiao;CUI Weidong;LI Jing(Department of Medical,Hengshui Psychiatric Hospital,Hebei Province,Hengshui 053800,China)

机构地区：[1]河北省衡水市精神病医院医务科,河北衡水053800

出　　处：《中国医药导报》2018年第32期109-113,共5页China Medical Herald

基　　金：河北省医学科学研究重点课题计划项目(20160715)

摘　　要：目的探讨心理健康教育多元家庭治疗模式(PMFG)对精神分裂症患者家属负担情况的影响。方法 2015年6月在河北省衡水市各乡镇卫生院管理的农村严重精神障碍患者中随机抽取200例,经复核诊断及排除后确定73例为精神分裂症患者,采用随机数字表法将其分为研究组和对照组,其中研究组36例,对照组37例。两组患者均进行系统的抗精神病药物治疗,研究组采用PMFG进行干预,对照组采用常规社区管理模式进行管理干预。采用90项症状清单(SCL-90)、家庭负担访谈量表(FBIS)、社会支持评定量表(SSRS)对两组患者家属负担情况进行评估。结果研究组干预后FBIS家庭经济负担、家庭娱乐活动、家庭成员躯体健康阴性率明显高于干预前,差异有统计学意义(P <0.05或P <0.01)。研究组干预后SCL-90的各项评分均低于国内常模,抑郁、敌对因子分数明显低于国内常模(P <0.05);强迫、人际关系、焦虑、精神病性因子评分显著低于国内常模(P <0.01)。研究组干预后SCL-90的各项因子评分中,强迫、敌对、精神病性因子分明显低于对照组(P <0.05);躯体化、人际关系、抑郁、焦虑、恐怖、偏执因子评分显著低于对照组(P <0.01)。研究组SSRS总分明显高于对照组,差异有统计学意义(P <0.05)。结论 PMFG减轻了精神疾病患者的残留症状,同时改善了精神疾病患者家属的家庭功能,减轻了患者家属的心理压力,提高了其生活质量。Objective To explore the effect of psycho-educational multifamily group （PMFG） therapy on family burden of patients with schizophrenia. Methods In June 2015, 200 patients with severe mental disorder in rural areas managed by hospitals of towns and villages in Hengshui City of Hebei Province were randomly selected, and 73 patients with schizophrenia were confirmed after re-examination diagnosis and exclusion. They were divided into research group and control group by random number table method, with 36 cases in the research group and 37 cases in the control group. All patients in two groups were systematically terated with antipsychotic drugs, the research group was given the model of PMFG, the control group was given conventional pattern of community management administrative intervention. The family burden of the two groups was assessed by using symptom checklist 90 （SCL-90）, family burden interview schedule （FBIS） and social support revalued scale （SSRS）. Results The negative rates of family financial burden, home entertainment and physical health of family members in the FBIS of the research group were significantly higher than those of the control group, the differences were statistically significant （P 〈 0.05 or P 〈 0.01）. After intervention, all the scores of SCL-90 of the research group were lower than the national norm, and the scores of depression and hostility factors of the research group were lower than the national norm （P 〈 0.05）, the scores of compulsion, interpersonal relationship, anxiety and psychiatric factors of the research group were significantly lower than the national norm （P 〈 0.01）. After intervention, among all factors of SCL-90, the scores of compulsion, hostility and psychiatric factors of the research group were significantly lower than those of the control group （P 〈 0.05）. The scores of somatization, interpersonal relationship, depression, anxiety, terror and paranoia of the research group were significantly lower than those of the control

关 键 词：心理健康教育多元家庭治疗 精神分裂症 家属负担 生活质量 

分 类 号：R749.3[医药卫生—神经病学与精神病学]