精神卫生综合干预对社区精神分裂症患者的康复作用

目的:探讨精神卫生综合干预对社区精神分裂症患者的康复作用。方法:将精神病患者日间康复照料机构中的89例精神分裂症康复期患者随机分为干预组和对照组;在接受常规社区精神卫生服务的同时,给予干预组精神卫生综合干预(健康教育、家庭治疗及技能程式训练)1年。分别在入组时、干预3、6、9及12个月进行阳性和阴性症状量表(PANSS)、康复状态量表(MRSS)和社会功能缺陷筛选量表(SDSS)评定。结果:PANSS阴性症状分和一般病理分具有组间效应(F=2175.79;P0.001;F=4.74,P0.05);两组PANSS总分、阴性症状分和一般病理分具有时间效应(F=29.32、23.07、15.21,P均0.001)及交互作用(F=3.27,P0.05;F=6.06,P0.001;F=3.55,P0.01)。两组MRSS总分、活动能力缺乏、社交能力、目前症状和异常行为评分具有时间效应(F=14.53、12.74、8.58、6.26;P均0.001)及交互作用(F=6.34,P0.001;F=2.47,P0.05;F=8.58,P0.001;F=2.88,P0.05)。两组SDSS评分具有时间效应和具有交互作用(F=10.69,F=5.19;P均0.001)。两组康复状况比较差异无统计学意义。结论:精神卫生综合干预对改善精神分裂症患者状况及提高社交技能方面优于常规社区精神卫生服务。

Rehabilitation effect of comPrehensive intervention of mental health in community Patients with schizo-Phrenia

To explore the rehabilitation effect of comprehensive intervention of mental health in community patients with schizophrenia. Method：Eighty-nine schizophrenic patients in community were ran-domly divided into intervention group and control group. On the basis of conventional community mental health service,the intervention group received comprehensive intervention of mental health（including health education, family therapy and skills training program）for one year. The patients were assessed by positive and negative symptom scale（PANSS）,momingside rehabilitation status scale（MRSS）and social disability screening schedule （SDSS）when join the group and 3,6,9 and 12 months after intervention,respectively. Results：There were group effects on PANSS negative symptom and general pathology（F =2175. 79;P ﹤ 0. 001;F = 4. 74,P ﹤ 0. 05）. There were time effects on the PANSS total score,negative symptom score and general pathological score（F =29. 32,23. 07,15. 21;all P ﹤0. 001）and interactive effects（F =3. 27,P ﹤0. 05;F =6. 06,P ﹤0. 001;F =3. 55, P ﹤0. 01）. There were time effects on MRSS total score,lack of activity ability,social ability,the symptoms,and abnormal behavior（F =14. 53,12. 74,8. 58,6. 26;all P ﹤ 0. 001）and interactive effects（F = 6. 34,P ﹤ 0. 001;F = 2. 47,P ﹤0. 05;F =8. 58,P ﹤0. 001;F =2. 88,P ﹤0. 05）. There were time effects and interactive effects on SDSS score（F =10. 69,F = 5. 19;all P ﹤ 0. 001）. The rehabilitation condition between the two groups was not significantly different. Conclusion：Comprehensive intervention of mental health for improving the illness condition and the social skills in patients with schizophrenia is better than the conventional community mental health service.