论文部分内容阅读
目的:探讨院外一体化康复模式对精神分裂症患者精神症状及社会功能的影响。方法选取2013年1月‐2015年12月我院160例出院精神分裂症患者为研究对象,按随机数字表法分为研究组和对照组各80例。对照组出院后行常规社区精神卫生服务;研究组接受系统的院外一体化康复模式服务,每周1次社会心理教育、技能训练和家庭辅导教育。两组均于干预3个月及6个月时采用阳性与阴性症状量表、社会功能缺陷筛选量表、个人与社会表现量表评定患者的精神病性症状以及社会功能改善情况。结果出院时两组阳性与阴性症状量表总分及各因子评分比较差异均无显著性(P>0.05)。干预3个月起两组阳性与阴性症状量表总分及各因子评分均较出院时呈持续性下降( P<0.05或0.01);研究组各时点阳性与阴性症状量表总分及各因子评分均显著低于对照组(P<0.01);干预3个月及6个月后,研究组社会功能缺陷筛选量表总分均较对照组低(P<0.05),个人与社会表现量表总分均较对照组高(P<0.05)。结论院外一体化康复模式能显著提高患者的康复效果,促进患者社会功能的恢复。“,”Objective To explore the effects of community integration rehabilitation patterns on schizo‐phrenic’s mental symptoms and social functions .Methods A total of 160 schizophrenics discharged from our hospital from Jan .2013 to Dec .2015 were assigned to research and control group of 80 ones each ac‐cording to random number table .Control group received routine community mental health services after discharge ;research group received systemic community integration rehabilitation patterns of one psychoso‐cial education ,skill training and family coaching education weekly .Improvements of mental symptoms and social functions were assessed with the Positive and Negative Syndrome Scale (PANSS) ,Social Disability Screening Schedule (SDSS) ,and Personal and Social Performance Scale (PSP) in the 3rd and 6th month of intervention .Results There were no significant group differences in the total and each factor scores of the PANSS at discharge (P>0 .05) .Since the 3rd month the total and each factor scores of the PANSS lowered continuously compared with those at discharge (P<0 .05 or 0 .01);those at each time‐point were signifi‐cantly lower in research than in control group (P<0 .01);after 3 and 6 month intervention the total score of the SDSS lower (P<0 .05) and the PSP higher (P<0 .05) in observation than in control group .Conclu‐sion Community integration rehabilitation patterns could notably boost patients ’ rehabilitation outcome and promote the recovery of social function .