精神卫生全程服务对社区精神分裂症患者的康复作用  

Effect of whole-period psychiatric rehabilitation on outpatients with schizophrenia

作　　者：昌延力 李文咏 项玉涛[2] 谢凌[1] 高亮[1] 陈国澜 

机构地区：[1]北京市朝阳区第三医院精神卫生科,北京市100025 [2]首都医科大学北京安定医院康复教研室

出　　处：《中国康复理论与实践》2004年第4期198-199,共2页Chinese Journal of Rehabilitation Theory and Practice

基　　金：首都医学发展科研基金资助项目(首都TS199801;特色专业);北京重点扶持学科基金资助项目[(1999)卫科扶字10号];首都医学发展科研基金资助项目(ZD199816)

摘　　要：目的探讨精神卫生全程服务对社区精神分裂症患者的康复作用。方法将 90名社区精神分裂症患者随机分为干预组和对照组 ,每组各 45例。在抗精神病药物治疗的同时 ,对于干预组施以精神卫生全程服务 ,约 2 4个月。采用简明精神病评定量表 (BPRS)、社会功能缺陷筛选量表 (SDSS)评定康复效果。结果干预前与干预后评分差值的比较 ,干预组的BPRS总分、反应缺乏因子分、思维障碍因子分、偏执因子分、SDSS评分 ,均明显优于对照组 (P <0 .0 5— 0 .0 1)。结论精神卫生全程服务对控制社区精神分裂症患者的病情、提高其社会功能具有积极作用。ObjectiveTo investigate the effect of whole-period psychiatric rehabilitation on outpatients with schizophrenia.Methods90 outpatients with schizophrenia were randomly divided into the study group and control group with 45 cases in each group. All cases in two groups received pharmacotherapy, but cases of study group were added with whole-period psychiatric rehabilitation. Assessments were performed before and after study. All subjects were evaluated with the Brief Psychiatric Rating Scale (BPRS) and Social Disability Screening Schedule (SDSS).ResultsThe outcome of the study group was significantly superior to the control group on overall improvement according to the reductions of BPRS score, Anergia factor score, thought disturbance factor score, suspiciousness factor score and SDSS score( P<0.05-0.01).ConclusionThe whole-period psychiatric rehabilitation may play an important role in controlling symptoms and improving social function to outpatients with schizophrenia.

关 键 词：社区 精神分裂症 康复 

分 类 号：R749.3[医药卫生—神经病学与精神病学]