家庭干预对农村慢性精神分裂症患者作用的随访研究

目的探讨家庭干预对农村慢性精神分裂症患者的康复作用和其经济效益。方法将 90例慢性精神分裂症患者随机分为干预组和对照组各 45例 ;对干预组定期进行以心理教育为主的家庭干预 1年。在入组时、入组第 6个月和第 12个月用SDSS、SAPS、SANS、MRSS对两组患者进行评估 ,且比较两组 1年的经济收入和支出情况。结果在家庭干预的第 6个月和 12个月时 ,干预组SDSS、SAPS、SANS、MRSS的均值 ,及间接医疗费用均低于对照组 ,复工收入高于对照组 (均为P <0 .0 0 1)。结论对农村慢性精神分裂症患者实施家庭干预治疗 ,既有利于控制其病情和提高其社会功能 ,又可减轻患者家庭的经济负担

A follow-up study of family intervention for rehabilitating chronic outpatients with schizophrenia in the country

ObjectiveThe trial was to examining the effectiveness and cost effects of family intervention for rehabilitating chronic outpatients with schizophrenia in the country.Methods90 subjects were randomly assigned to the family intervention group and the control group. Both groups received the same treatments, but the family intervention courses mainly containing mental health education were given to the family intervention group for one year. During the time, all subjects were evaluated with standard rating scales and self made criteria. ResultsThe family intervention group demonstrated clinical results significantly superior to those of the control group on overall improvement according to the scores on the SDSS, the SAPS, the SANS and the MRSS. Substantially, the direct and indirect average cost in the family intervention group was significantly lower than those of the control group. Conclusions Family intervention is effective not only in making the schizophrenics recover from illness but also in both increasing their social functions and reducing their medical cost.