社区康复联合药物治疗对农村社区精神分裂症患者康复的效果

目的 研究社区康复联合药物治疗对农村社区精神分裂症患者康复的效果,为我国农村地区精神分裂症患者社区康复提供参考.方法 选择兰州新区三个镇农村社区中符合《国际疾病分类(第10版)》(ICD-10)精神分裂症诊断标准的患者81例,按随机数字表法分为研究组(n=39)和对照组(n=42),两组均接受一般药物治疗,研究组在此基...

Efficacy of community rehabilitation combined with drug therapy on patients with schizophrenia in rural communities

Objective To study the efficacy of community rehabilitation combined with drug therapy on rehabilitation of patients with schizophrenia in rural communities,and to provide references for community rehabilitation of patients with schizophrenia in rural areas of our country.Method A total of 81 patients in rural communities of three towns in Lanzhou new area who met the diagnostic criteria of International Classification of Diseases,tenth edition(ICD-10)were randomly divided into study group(n=39)and control group(n=42).Both groups received general drug treatment.On this basis,the study group received community rehabilitation intervention for 6 months.Before and after intervention,Positive and Negative Syndrome Scale(PANSS),Activity of Daily Living Scale(ADL),Social Disability Screening Schedule(SDSS)and Schizophrenia Quality of Life Scale(SQLS)were used to assess the psychotic symptoms,social function and quality of life in two groups.Results After intervention,the PANSS total score[(55.54±14.75)vs.(63.52±13.95),t=-2.504,P=0.014],negative symptom factor score[(15.64±4.50)vs.(18.38±5.13),t=-2.547,P=0.013]and general psychopathological factor score[(25.67±7.39)vs.(30.35±6.60),t=-3.015,P=0.003]of the study group were lower than those of the control group.The SDSS score[(8.21±3.78)vs.(10.21±4.67),t=-2.118,P=0.037]and SQLS score[(18.97±6.23)vs.(22.43±8.04),t=2.150,P=0.035]of the study group were lower than those of the control group.Conclusion Community rehabilitation combined with drug therapy may help alleviate psychotic symptoms,improve social function and improve quality of life in patients with schizophrenia in rural communities.