农村首发精神分裂症患者亲属健康教育的10年随访

目的探索健康教育对农村首发精神分裂症患者康复的影响.方法将符合入组标准的100例农村首发精神分裂症患者分为健康教育组和对照组(每组50例).两组均给予相仿的药物治疗,其中健康教育组亲属同时接受住院期间和出院后的健康教育,对照组则否.于入组时、随访半年、1年、3年、5年、10年末采用简明精神病量表(BPRS)、社会功能缺陷筛选量表(SDSS)、家庭环境量表中文版(FES-CV)评定病情、社会功能及家庭环境变化,并统计复发情况.结果入组时健康教育组和对照组比较,BPRS、SDSS、FES-CV评分差异无显著性(P＞0.05).随访半年时,健康教育组BPRS、SDSS评分均低于对照组(P＜0.05,FES-CV中亲密性、文化性、娱乐性评分均高于对照组(P＜0.05),情感表达、矛盾性均低于对照组(P＜0.05),并持续至随访结束.且随访结束时健康教育组复发人次显著少于对照组(P＜0.05).结论健康教育使农村首发精神分裂症患者的复发率降低,社会功能残疾程度减轻,家庭环境改善.

TEN-YEAR FOLLOW-UP SURVEY ON THE EFFECTS OF HEALTH EDUCATION ON RELATIVES OF PATIENTS WITH FIRST-ATTACK SCHIZOPHRENIA IN RURAL AREA

Objective To explore the effects of health e du cation on first-attack schizophrenia in rural area.Methods 100 c ases of first-attack schizophrenia were divided into the health-education grou p and the contrast group.Both groups reeived similar drug therapy.Relatives of t he heath-education group reeived health education about the care in and out of brief psychiatric rating scale (BPRS),social assessment scale(FEAS) were used to survey patients,health conditions,their social functions changes in their famil y enviromment and at the recurrences of the disease at the beginning of treatmen t,and the end of the 1st,3rd,5th and 10th year.Results At the beg inning of treatment,there existed no differences in terms of the findings of BPR S,SDSS and FEAS between the two groups (P>0.05).The half-year survey reveal ed that the health-education group had lower scores in BPRS and SDSS,higher sco res in FEAS in terms of intimacy,cultural adjustment and entertainment activeiti es,and lower rates of affective disorder and ambitendency in the healthy-educat ion group than in the contrast group (P<0.05).The recrrence rate was also fo und much lower in the former group (P<0.05).Conclusion Health -education program can effectivey reduce the relapses of schizophrenia in rural area,decrease patients' disability in social functions and improve their family environment.