综合干预对社区精神分裂症患者的康复作用

目的:探讨包括技能训练在内的综合干预对社区精神分裂症病人康复的作用。方法:将200名精神分裂症患者随机分为干预组和对照组,对干预组患者实施综合式干预,经过12个月的观察,每3个月用自制一般情况调查表、阳性和阴性症状量表(PANSS)、功能大体评定量表(GAF)、现有能力及康复效果评估表对两组进行比较。结果:干预9个月后两组间PANSS量表有显著性差异(t=-2.020,-2.631;P0.05);6个月和9个月时两组间GAF量表有显著差异,至12个月时有极显著差异(t=2.496,2.967,4.303;P0.05或0.001);现有能力及康复效果评估表中,第6个月时生活能力、工作情况、关心和兴趣、社交能力及总评有显著性差异(t=-2.065,-2.048,-2.021,-2.671,-2.915;P0.05)。随着观察时间的推移,两组间差异逐渐明显,至第12个月时,各分量表及总评均有不同程度的差异,卫生能力、生活能力、工作情况、关心和兴趣、社交能力、总评(t=-2.476,-4.117,-3.024,-2.980,-3.696,-4.034;P0.05或0.001)。结论 :包括技能训练在内的综合干预的康复形式,有利于促进精神分裂症患者康复。

Comprehensive Intervention Effects on Community Rehabilitation of Patients with Schizophrenia

Objective :To investigate comprehensive intervention including skills training ,including the rehabilita‐tion of patients with schizophrenia in community action .Methods :200 patients with schizophrenia were randomly as‐signed to the intervention group and the control group ,the intervention group were to implement a comprehensive formula to intervene ;They were observed over 12 months ,and every three months were tested with a homemade general questionnaire ,Positive and Negative Syndrome Scale (PANSS ) ,Global Assessment Scale Function (GAF) , and rehabilitation of existing capacity evaluation form .Results :In 9 months after the intervention ,the PANSS be‐tween the two groups had significant differences(t = ‐2 .020 ,‐2 .631 ;P < 0 .05) ;The two groups were significantly dif‐ferent in 6 months and 9 months on GAF scale ,and there are very significant differences in 12 month(t = 2 .496 , 2 .967 ,4 .303 ;P < 0 .05 or 0 .001) ;In capacities and rehabilitation evaluation form ,in the first six month ,life skills , work ,care and interest ,social skills and total scores had significant differences between the two groups (t = ‐2 .065 ,‐2 .048 ,‐2 .021 ,‐2 .671 ,‐2 .915 ;P < 0 .05) .Over observation time ,differences between the two groups became clear ;to the first 12 months ,each subscale ,such as health capacity ,the ability to live ,work ,care and interest ,social skills ,and the total scores had significant differences between the two groups (t = ‐2 .476 ,‐4 .117 ,‐3 .024 ,‐2 .980 ,‐3 .696 ,‐4 .034 ;P < 0 .05) .Conclusion :Rehabilitation in the form of conclusions ,including a comprehensive skills training interven‐tions ,can promote the rehabilitation of patients with schizophrenia .