家庭化管理和教育对住院精神分裂症病人康复的影响

目的探讨家庭化管理和教育对住院精神分裂症病人康复的影响.方法对50例住家庭式病房的精神分裂症病人（研究组）实施家庭化管理和教育,并与50例住封闭式病房的精神分裂症病人（对照组）进行比较,观察8周.采用简明精神病量表（BPRS）、自知力与治疗态度问卷（ITAQ）、自制满意度/舒适度问卷（QSC）和住院天数作为评价工具.结果入院时BPRS、ITAQ评分2组间差异均无显著性（P〉0.05）;8周后,BPRS、ITAQ评分2组间差异均存在显著性（P〈0.05或P〈0.01）.8周后研究组病人QSC显著优于对照组（P〈0.01）、平均住院天数显著低于对照组（P〈0.01）.结论对家庭式病房住院病人实施家庭化管理和教育,可提高住院精神病病人的康复效果.

Study on influence of family management and health education on rehabilitation of inpatients with schizophrenic

Objective To explore the influence of family-mode management and health education on the rehabilitation of inpatients with schizophrenia.Methods 50 schizophrenic patients in family-model ward(experimental group) received family-mode management and health education;Meanwhile,50 schizophrenic patients in closed ward were regarded as control group.They had been observed for 8 weeks.Brief psychiatric rating scale(BPRS),insight and treatment attitude questionnaire(ITAQ),self-design questionnaire of satisfactory and comfort(QSC)and days of stay-in hospital were used to evaluated the patients' conditions.Results There were no significant differences in the scales of BPRS and ITAQ between two groups when they came into the hospital(P>0.05).However,there were significant differences in the scales of BPRS and ITAQ between two groups after 8 weeks(P<0.05 or P<(0.01)).After staying in the hospital for 8 weeks,the result of QSC of patients in experimental group was better than that of patients in control group(P<0.01),and the average days of stay-in hospital of experimental group was fewer than that of control group.Conclusions Family-mode management and health education in psychiatric ward can improve the rehabilitation of inpatients with schizophrenic.