精神分裂症患者院内全开放管理及其疗效的1年随访

目的 探讨院内全开放管理对精神分裂症的作用。方法 将64例精神分裂症住院患者随机分为管理干预组和对照组．每组各32例．在抗精神病药治疗的同时．对干预组以完全开放式病房管理．出院后随访1年．用简明精神病评定量表（BPRS）社会功能缺陷筛选量表（SDSS）和就业率进行评估。结果 干预组复发率13％．再住院率3％和再就业率39％皆优于对照组（分别为61％、51％和13％）。结论 院内全开放管理对提高精神分裂症患者的社会功能和再就业率以及降低复发率和再住院率具有重要作用。

A Study on Wholly Open Management in Hospital and One Year's Follow-up of Efficacy in Schizophrenia

Objective To explore the effect of wholly open management in hospital for schizophrenia. Methods 64 inpatients with schizophrenia were randomly divided into intervention group and control group, each with 32 cases, with the same treatment of anti-psychotic drugs, the intervention group was managed with wholly open ward and followed up one year, BPRS, SDSS and employed rate were evaluated. Results In intervention group, the relapserate(13%), re-hospitalization(3%) and re-employed rate(39%) gave privrity to those of the control group(61%, 51% and 13%, respectively). Conclusion Wholly open management in hospitol played an important role in improving schizophrenic patient's social function and re-employed rate and in decreasing relapse rate and re-hospitalization rate.