43例被关锁重性精神疾病患者解锁治疗前后对照分析

目的 比较被关锁的重性精神疾病患者解锁前后的症状、社会功能及其家庭经济负担的变化.方法 对43例被关锁的重性精神疾病患者(精神分裂症和双相障碍)于解锁前、解锁后6个月分别采用阳性与阴性症状量表(PANSS)或Bech-Rafaelsen躁狂量表(BRMS)评定临床效果,采用社会功能缺陷量表(SDSS)评定社会功能,采用＜解锁患者信息采集表＞和＜解锁患者家庭经济学指标调查表＞进行患者家庭经济学指标比较.结果 解锁前、解锁治疗6个月时PANSS总分、BRMS总分、SDSS总分、家庭经济学指标评定结果比较,差异有显著性(P＜0.01).结论 解锁治疗显著改善了被关锁重性精神疾病患者的精神症状和社会功能,减轻了患者家庭的经济负担,提高了患者及其家属的生活质量.

Comparitive analysis on the symptoms, social function and family financial burden in 43 locked patients with severe mental illness before and after unlocked treatment

Objective To evaluate changes in symptoms, social function and family financial after unlock treatment of severe mental illness patient. Methods Forty--three cases were included. They were pre--treated in lock--off wards due to the severity of their mental illnesses （schizophrenia and bipolar disorder） then treated unlocked for six months after recruitment. The clinical effect of lock and unclock treatment were evaluated with positive and negative syndrome scale （PANSS） or the Bech--Rafaelsen Mania Volume Table （BRMS）. Patients＇ social function was assessed using Social Disability Scale （SDSS）. ~Tahle of patient information to unlock＂ and ＂the economic indicators of household survey＂ were used to compare the patient＇s family financial status. Results PANSS total scores, BRMS total scores, SDSS scale scores, family economic indicators differed in before unlocking from unlock treatment for 6 months. The differences were significant （P ~ 0.01）. Conclusions Unlock therapy significantly improves the symptoms and social function of patients with severe mental illness, reduces the financial burden of patient families, and improves the quality of life of patients and their families.