居家式康复模式在改善早发性精神分裂症患者家庭负担中的应用效果  

Effect of home-based rehabilitation model on improving the family burden of patients with high function and low function early-onset schizophrenia

作　　者：李璐瑶 徐晔[1] 孙海玲[1] Li Luyao;Xu Ye;Sun Hailing(Psychiatry Ward 2, Mental Health Center, the First Affiliated Hospital of Harbin Medical University, Harbin 150000, China)

机构地区：[1]哈尔滨医科大学附属第一医院精神卫生中心精二病房,150000

出　　处：《神经疾病与精神卫生》2019年第5期452-456,共5页Journal of Neuroscience and Mental Health

基　　金：国家临床重点专科建设项目经费资助([2012]649).

摘　　要：目的探究居家式康复模式在改善高、低功能早发性精神分裂症患者家庭负担的应用效果。方法选取2017年1月至2018年1月于哈尔滨医科大学附属第一医院进行治疗的早发性精神分裂症(EOS)患者98例,按照患者入院检查的结果将患者分为高功能EOS患者(52例)和低功能EOS患者(46例),按照随机数表法将高功能EOS患者均分为两组,分别为观察组一(26例)和对照组一(26例),同时将低功能EOS患者均分为两组,分别为观察组二(23例)和对照组二(23例)。两组观察组患者实施居家式康复模式护理干预,两组对照组患者实施常规护理干预,在患者出院1个月、3个月复查时比较患者的家庭负担、生活自理能力和生活质量。结果观察组一和对照组一患者、观察组二和对照组二患者出院时家庭负担评分、生活自理能力评分、生活质量评分比较差异无统计学意义(P>0.05);观察组一患者出院1个月、3个月后家庭负担评分低于对照组一患者,生活自理能力评分、生活质量评分高于对照组一患者,差异有统计学意义(P<0.05);观察组二患者出院1个月、3个月后家庭负担评分低于对照组二患者,生活自理能力评分、生活质量评分高于对照组二患者,差异有统计学意义(P<0.05)。结论居家式康复模式能够减轻高、低功能患者的家庭负担,提高患者的自理能力。Objectives To explore the effect of the home-based rehabilitation model in improving the family burden of patients with high- and low-function early-onset schizophrenia. Methods A total of 98 patients with early-onset schizophrenia (EOS) who were treated in the First Affiliated Hospital of Harbin Medical University from January 2017 to January 2018 were enrolled. According to the results of the admission examination, patients were divided into groups of high-function EOS (52 patients) and low-function EOS (46 patients). The high-function EOS group was further divided into two groups (Observation Group 1 and Control Group 1) according to the random number table method, with 26 patients in each group respectively. The low-function EOS group was also further divided into two groups (Observation Group 2 and Control Group 2) according to the random number table method, with 23 patients in each group respectively. The patients in the two observation groups were treated with home-based rehabilitation mode. The two control groups underwent routine nursing intervention. The patients' family burden, self-care ability and quality of life were compared at 1 month and 3 months after discharge. Results There was no significant difference in the family burden score, self-care ability score, and quality of life score between Observation Group 1 and Control Group 1 and between Observation Group 2 and Control Group 2 at the time of discharge (P> 0.05). The family burden score of Observation Group 1 was lower and the self-care ability score and quality of life score were higher than that of Control Group 1 when they were discharged for 1 month and 3 months (P< 0.05). Similarly, the family burden score of Observation Group 2 was lower and the self-care ability score and quality of life score were higher than that of Control Group 2 when they were discharged for 1 month and 3 months (P < 0.05). Conclusions The home-based rehabilitation model can relieve the family burden of the patients with high function and low function EOS, and im

关 键 词：精神分裂症 居家式康复模式 家庭负担 

分 类 号：R749.3[医药卫生—神经病学与精神病学]