社区慢性精神分裂症患者的需求调查

目的：了解社区慢性精神分裂症患者的需求情况。方法：对１２０例符合ＣＣＭＤ－２－Ｒ精神分裂症诊断标准的患者完成调查。依据社会功能缺陷量表（ＳＤＳＳ）总分划分轻残组，中残组，重残组。以Ｃａｍｂｅｒｗｅｌｌ需求评定量表（ＣＡＮ），生活质量评定量表（ＱＯＬＳ），以及阳性阴性症状评定量表（ＰＡＮＳＳ）作为评定工具。结果：ＣＡＮ需求项目评定结果：３组间家庭照料，日常生活，解决精神症状，了解疾病和治疗信息，社会

The requirement investigation of community chronic schizophrenics

Objective:Investigating the requirements of community chronic schizophrenics. Method:120 cases with schizophrenia according to CCMD 2 R were investigated.According to social disability screening schedule (SDSS),they were been divided into minimal,medium and serious disability three groups.The instruments of assessment were Camberwell assessment of need(CAN),quality of life scale (QOLS) and positive and negative syndrome scale (PANSS). Results:The CAN showed that there were significant differences in family care,daily life,solving psychiatric symptoms,understanding disease and treating information,social contact and social relief of three groups.Medium disability group and serious disability group obtained family help more than social help.The CAN total requirement score of minimal disability group and medium disability group showed correlated well with the QOLS total score.Multiple stepwise regression analysis showed that the main influence factor were the serious criterion of psychiatric symptoms,duration of illness,education states and the identity of careman . Conclusion:The patients which had different serious degree of disease had different requirements.The contents of requirement included family daily life,treatment of disease and social requirement.The family help were more than the social help.The influences on requirement were in many ways.