社区干预对精神分裂症患者生活质量的影响

目的探讨社区干预对精神分裂症患者生活质量的影响。方法将120例男性精神分裂症患者随机分为实验组与对照组各60例。出院后对实验组家属和患者进行定期康复指导，实施社区干预．对照组不进行特殊指导。对两组患者随访2年，采用日常生活能力量表（ADL）、社会功能缺陷量表（SDSS）和生活质量综合评定问卷（GQOLI-74）对其生活质量进行评估。结果干预后实验组患者GQOLI-74中躯体功能、心理功能、社会功能显著高于干预前，差异有统计学意义（P均〈0．01）；干预后实验组GQOLI-74中各维度得分均高于对照组，差异有统计学意义（P〈0．05或P〈0．01）；ADL的躯体生活自理能力和日常生活能力也高于对照组（P〈0．05），SDSS的社会功能改善程度高于对照组（P〈0．05）。结论社区干预有助于增进患者自我照顾能力，提高服药依从性，减少复发，延缓精神分裂症患者的功能衰退，提高生活质量。

The Influence of Community Intervention on the Quality of Life of Patients with Schizophrenic

Objective To study the influence of community intervention on the quality of life of patients with schizophrenic. Method 120 male patients with schizophrenic were randomly and equally divided into the experimental group and the control group. Healing guidance was used in experimental group. After 2 years follow up, the quality of life for patients in the two groups were evaluated by ADL, SDSS, and GQOLI-74. Result After intervention, the body function, psychogenic function and social function of the experimental group patients were better than the control group. All the indexes which can indicate the quality of life were better in experimental group than those of in the control group. Conclusion Community intervention can effectively ameliorate the conditions of the patients with schizophrenic, and enhance the ability of taking care of themselves and their compliance of taking medicine.