家庭干预对农村慢性精神分裂症患者社会功能的影响

目的探讨家庭干预对农村慢性精神分裂症患者社会功能的作用。方法将150例慢性精神分裂症患者随机分为干预组(75例)和对照组(75例)。由专职医生对干预组进行以心理教育为主的综合家庭干预指导,对照组仅进行疾病干预,在入组时、入组后1年、2年、3年用社会功能缺陷筛选表(SDSS)、阳性症状量表(SAPS)、阴性症状量表(SANS)、Morningside康复状态量表(MRSS)进行评估。结果在入组后1年、2年、3年,干预组SANS、MRSS评分显著优于对照组(P<0.001),在SDSS生活自理、家庭职能、关心与责任心、职业劳动等方面也优于对照组(P<0.05)。结论家庭干预有助于改善慢性精神分裂症患者的阴性症状,部分改善社会功能。

Family Intervention for Chronic Schizophrenic Outpatients in Countryside

Objective To observe the effects of family intervenes on the social function of chronic schizophrenic outpatients in countryside.Methods 150 chronic schizophrenic patient were divided into the intervention group(75 cases)and the control group(75 cases).The intervention group accepted comprehensive family intervention education by the professional,while the control group only accepted the medical intervention.They were assessed with Social Disability Screening Schedule(SDSS),Scale for Assessment of Positive Symptoms(SAPS),Scale for Assessment of Negative Symptoms(SANS),Morningside Rehabilitation Stats Scale(MRSS)before,1 year,2 years and 3 years after intervention.Results The scores of SANS and MRSS improved in the intervention group compared with that of the control group(P<0.001),as well as the ability of self-care,family,responsibility,vocation of SDSS(P<0.05).Conclusion The family intervenes may improve the negative symptom and some social ability of chronic schizophrenic outpatients in countryside.