“解锁工程”精神分裂症患者社区康复效果观察

目的探讨"解锁工程"精神分裂症患者社区康复效果。方法对"解锁工程"122例精神分裂症患者进行5年的社区治疗和康复护理,于出院前1周和社区康复每年采用简明精神病评定量表(brief psychiatric rating scale,BPRS)、大体评定量表(global assessment scale,GAS)和社会功能缺陷筛选量表(social disability screening schedule,SDSS)进行评定。了解患者5年社区治疗和康复护理后精神症状、病情情况、社会功能及服药方式、治疗依从性状况。结果患者每年BPRS、GAS及SDSS得分与出院前比较,均P<0.001,差异具有统计学意义,均优于出院前;服药方式、治疗依从性5年比较,均P<0.05,差异具有统计学意义,随着年限的增加,用药方式、治疗依从性逐渐改善。结论社区康复护理能改善"解锁工程"精神分裂症患者的精神症状,提高其社会功能。

Community rehabilitations of patients with schizophrenia in "unlock program"

Objective To explore the community rehabilitation effects of unlock schizophrenia patients. Methods The 122 patients with schizophrenia received community-based treatment and rehabilitation for 5 years and were followed up regularly. The psychiatric symptoms, disease conditions, social function, treatment behavior and treatment compliance were investigated one week prior to discharge and annually for the 5 years using BPRS, GAS and SDSS. Results The annual score by BPRS, GAS and SDSS was markedly decreased compared to pre-discharge （P 〈 0.001 ）. The treatment behavior and the treatment compliance within the five years were both improved year by year （P 〈 0.05）. Conclusion The community rehabilitation can improve the psychotic symptoms of unlock schizophrenia patients as well as the social function.