社区康复门诊干预在预防精神分裂症复发中的作用  

Effect of Community-Based Rehabilitation on the prevention of relapse of Schizophrenia patients

作　　者：朱少毅[1] 蚁丽芬[1] 郭沈昌[1] 

机构地区：[1]汕头大学精神卫生中心,汕头515063

出　　处：《中国行为医学科学》2004年第1期63-64,共2页Chinese Journal of Behavioral Medical Science

摘　　要：目的探讨定期社区康复门诊治疗在预防精神分裂症复发中的作用。方法对经住院治愈回归社区的精神分裂症患者 2 0 8例进行为期 2年、每月一次的定期门诊随访治疗 ,并与 2 3 2例对照组的复发率进行比较。结果研究组总的复发率为 2 7.40 %,与对照组 (4 6.98%)比较有显著性差异 (P <0 .0 1) ;两组复发率均于出院后半年～ 1年时间内最高 ,研究组的服药维持治疗依从性、工作能力的恢复等方面显著好于对照组 ;同时显示 ,家族史阳性者 ,其复发率明显为高。讨论精神分裂症患者复发的主要原因与服药治疗依从性差有关 ,定期的社区康复门诊干预在预防精神分裂症患者复发中具有重要的作用。Objective To investigate the effect of regular Community-based rehabilitation (CBR) for schizophrenia out-patients on the prevention of their relapse. Method208 subjects finishing hospitalization and back to community are interviewed once a month for 2 years, the relapse rate of which are compared with that of 232 controls.ResultThe relapse rate of the subjects and the controls are 27.40%, 46.98%, respectively. The difference is significant. The relapse rate of the two groups show the highest in the following half to a year after leaving hospital. The compliance with maintenance treatment recommendations and the recovery of working ability of the subjects show significantly better than that of the controls. Meanwhile, patients with positive family history show higher relapse rate. DiscussionThe relapse rate of schizophrenia is related with the compliance with maintenance treatment recommendations, regular CBR for out-patients plays an important role in the prevention of relapse.[

关 键 词：社区康复 门诊 精神分裂症 复发 治疗依从性 工作能力 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]