社区综合防治模式对精神分裂症患者康复作用的研究徐先锋朱秀国孙恩妹陆海权（通讯作者）费吉辉张美娟（上海市松江区叶榭镇社区卫生服务中心上海201609）【摘要】目的：探索进行社区综合康复防治模式对精祌分裂症患者管理的作用和效果。方法：采取随机抽样的方法，将叶榭镇符合研究标准的89例慢性精神分裂症患者随机分为了干预组（45人）和对照组（44人），在接受常规的社区精祌卫生服务的基础上对干预组主要从健康教育、服药指导、社会功能训练、心理疏导和危机干预、举办集体活动等五个方面开展综合康复防治干预并采用简明精神病量表（BPRS）、社会功能缺陷筛选量表（SDSS）、自知力与治疗态度问卷量表（ITAQ）、功能活动调查表（FAQ）、MorningSide康复状态量表（MRSS）等进行评定，通过3年的随访管理，评价康复作用和效果。结果：通过干预防治后,干预组患者治疗依从性明显优于对照组，两组比较差异有统计学意义（χ2=9.62,P<0.01）,疾病复发住院率对照组要高于干预组，而再就业情况干预组患者就业人数多于对照组，均有统计学差异。5张评定量表在干预前、中、后三个时间段进行了比较，干预组患者在干预中期（18个月）和干预结束时的BPRS、SDSS、FAQ、MRSS得分均显著低于对照组患者，ITAQ得分高于对照组患者，两组量表评分差异明显，结果有统计学意义。结论：通过社区综合防治模式对精神分裂症患者开展康复，能有效改善患者精神症状，提高社会功能、日常生活能力和治疗依从性，减少疾病复发住院率。【关键词】社区；综合防治；精神分裂症；康复【中图分类号】R449【文献标识码】A【文章编号】1007-8231（2016）01-0116-03StudyontheeffectofcommunitycomprehensivepreventionandtreatmentontherehabilitationofpatientswithschizophreniaXuXianfeng,ZhuXiuguo,SunEnmei,LuHaiquan,FeiJihui,ZhangMeijuanShanghaiSongjiangDistrictYexietowncommunityhealthservicecenter,---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---Shanghai201609,China[Abstract]ObjectiveToexploretheeffectandeffectofcommunitycomprehensiverehabilitationtreatmentonthemanagementofpatientswithschizophrenia.Methodsusingthemethodofrandomsampling,89casesofchronicspiritwillYexietownmeetthestudycriteriaforschizophreniawererandomlyassignedtotheinterventiongroup(45people)andcontrolgroup(44people),inadditiontoroutinecommunitymentalhealthservicesontheinterventiongroupmainlyfromhealtheducation,medicationguide,training,socialfunctionpsychologicalcounselingandcrisisintervention,organizedcollectiveactivitiesofthefiveaspectstocarryoutcomprehensivepreventionandrehabilitationinterventionbyBriefPsychiatricRatingScale(BPRS),socialdisabilityscreeningschedule(SDSS),insightandtreatmentattitudequestionnaire(ITAQ),functionalactivitiesquestionnaire(FAQ),MorningSiderehabilitationstatusscale(MRSS)wereassessedby3yearsoffollow-up,management,andevaluationofrehabilitationeffect.ResultsAftertheintervention,thetreatmentcomplianceoftheinterventiongroupwassignificantlybetterthanthecontrolgroup,thedifferencebetweenthetwogroupswasstatisticallysignificant(χ2=9.62,P=0.01),therateofdiseaserecurrenceinthecontrolgroupwashigherthanthatintheinterventiongroup,whilethenumberofpatientsintheinterventiongroupwasmorethanthecontrolgroup,therewerestatisticallysignificantdifferences.The5assessmentscaleswerecomparedinthefirst,middleandlastthreetimeperiods.TheSDSS,FAQ,MRSSandBPRSscoresoftheinterventiongroupweresignificantlylowerthanthoseinthecontrolgroup(18months)andtheinterventiongroupweresignificantlylowerthanthoseinthecontrolgroup,thedifferencewasstatisticallysignificantbetweenthetwogroups.ConclusionThroughcommunitycomprehensivepreventionandcuremode,thepatie...
