健康教育对首发精神分裂症患者治疗效果的影响

目的探讨健康教育对首发精神分裂症患者治疗效果的影响。方法将40例在河南省洛阳荣康医院住院的首发精神分裂症、平均住院45天以上的患者,随机分成实验组和对照组各20例。实验组在接受常规抗精神病药物治疗的同时再接受健康教育,对照组只接受常规治疗。在入组前及实验的第2周,第4周分别进行简明精神病量表(BPRS)测评,在入院时和出院时分别进行临床疗效总评量表(CGI)测评,出院1个月后对所有患者和家属进行服药依从性的回访。结果接受健康教育的实验组在第2周、第4周的BPRS评分较对照组评分低。两组间采用t检验,显示第2周评分结果对比有统计学意义(t=2.43,P<0.05);第4周对比有显著统计学意义(t=4.73,P<0.01)。出院时实验组患者CGI"疗效总评(GI)"评分低于对照组,两组间采用t检验,差别有显著统计学意义(t=3.5,P<0.01)。出院1个月服药依从性实验组较对照组好,采用χ2检验,差别有显著统计学意义(χ2=10.29,P<0.01)。结论健康教育是抗精神病药物治疗的有效辅助手段,可以帮助改善症状、增进疗效、提高患者的服药依从性。

The Effect of Health Education on Patients with First Episode Schizophrenia

Objective To explore the effect of health education on patients with first episode schizophrenia.Method A total of 80 patients with first episode schizophrenia were randomly assigned to either experimental group(n=40)which received health education and routine therapy or control group which received routine therapy only.The Brief Psychiatric Rating Scale(BPRS)was administered at baseline,week 2 and week 4.The Clinical Global Impression(CGI)was administered at the moment of reaching hospital and leaving hospital.Results Compared with control group,the experimental group showed more score decrease on BPRS at week 2 and 4(t=2.43,P<0.05;t=4.73,P<0.01);at the moment of leaving hospital,the GI of experimental group was less than that of control group(t=3.5,P<0.01).There was significant difference in compliance between two groups in a month after discharge(χ2=10.29,P<0.01).Conclusion Health education can improve the effect on schizophrenia and treatment compliance.