开放式院内康复模式对慢性精神分裂症患者的影响  

Effect of Hospital Rehabilitation With Open Management Pattern on Chronic Schizophrenia

作　　者：何军 韩书贤 汪辉艳 唐加旭 何乐慧 HE Jun;HAN Shuxian;WANG Huiyan;TANG Jiaxu;HE Lehui(Department of Psychiatric,Ziyang Mental Health Center,Ziyang Sichuan 641300,China)

机构地区：[1]资阳市精神卫生中心精神康复科,四川资阳641300

出　　处：《中国卫生标准管理》2023年第8期110-114,共5页China Health Standard Management

摘　　要：目的探讨开放式院内康复模式对慢性精神分裂症患者的影响,为精神分裂症康复治疗提供参考依据。方法选取2020年6月—2021年5月在资阳市精神卫生中心长期住院治疗的符合《国际疾病分类(第10版))》(International classification of diseases,ICD10)诊断标准的慢性精神分裂症患者200例,随机分为研究组(开放式院内康复组)和对照组(病区康复组),每组各100例。采用简明精神病量表(brief psychiatric rating scale,BPRS)、总体幸福感量表(general wellbeing schedule,GWB)、日常生活能力量表(activity of daily living scale,ADL)以及社会功能缺陷筛选量表(social disability screening schedule,SDSS)在入组时、第2个月末、第6个月末和第12个月末对两组患者进行评定,比较两组患者的临床疗效。结果两组年龄、性别、受教育年限、首发年龄及病程及干预前BPRS、GWB、ADL及SDSS评分差异均无统计学意义(P>0.05)。干预后,研究组GWB评分高于对照组,研究组ADL评分低于对照组,差异有统计学意义(P<0.05);两组BPRS及SDSS评分差异均无统计学意义(P>0.05)。结论开放式院内康复模式对慢性精神分裂症患者总体幸福感和日常生活能力恢复效果优于病区康复治疗,而患者的精神症状和社会功能可能无差异。Objective To evaluate the effect of hospital rehabilitation with open management pattern on chronic schizophrenia.Methods A total of 200 patients with chronic schizophrenia meeting ICD-10 diagnostic criteria during hospital rehabilitation of Ziyang Mental Health Center from June 2020 to May 2021 were selected and randomly divided into hospital rehabilitation with open management group and control group(rehabilitation in the ward),each group of 100 cases.Before intervention and at the 2nd,6th,12th months of the intervention,the rehabilitation effect was assessed with the brief psychiatric rating scale(BPRS),the general well-being schedule(GWB),the activity of daily living scale(ADL),and the social disability screening schedule(SDSS),the clinical effects of the two groups were compared.Results There was no statistical significant difference between the two groups of age,gender,average educational year,first-episode age,course of disease and score of BPRS,GWB,ADL,SDSS before intervention(P>0.05).After intervention,the GWB score of study group were higher than those in control group(P<0.05),the ADL score of study group were lower than those in control group(P<0.05).There were no significant differences in scores of BPRS and SDSS of the two groups(P>0.05).Conclusion Hospital rehabilitation with open management pattern was more effective than rehabilitation in the ward in improving the general well-being and activity of daily living for patients with chronic schizophrenia,it may be no difference in improving symptoms and social function between the two managements.

关 键 词：精神分裂症 长期住院 康复 生活质量 社会功能 比较研究 

分 类 号：R749[医药卫生—神经病学与精神病学]