《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (09): 885-886.

• 社区康复 • 上一篇    下一篇

昌平区农村精神分裂症患者阶段性社区康复治疗对照研究

苏京利   

  1. 北京市昌平区精神卫生保健院，北京市 102206
  • 收稿日期:2009-06-08 修回日期:2009-07-08 出版日期:2009-09-01 发布日期:2009-09-01

Gradual Community-based Rehabilitation for Schizophrenia in Changping Countryside: A Comparative Study

SU Jing-li   

  1. Psychiatric Hospital of Changping, Beijing 102206，China
  • Received:2009-06-08 Revised:2009-07-08 Published:2009-09-01 Online:2009-09-01

PDF (PC)

被引次数

6

摘要： 目的 探讨阶段性社区康复治疗对农村精神分裂症患者综合疗效。方法 采用随机抽样法对4个镇农村精神分裂症患者60例分为康复组与对照组，由专职医师对康复组进行综合康复，对照组仅上门随访。于入组前及康复后3个月、6个月、9个月、12个月、15个月、20个月分别采用精神病评定量表(BPRS)，阴性症状量表(SANS)及社会功能缺陷量表(SDSS)对两组患者进行评估。结果 随着实施康复治疗时间的延长，BPRS、SANS、SDSS评分在组间存在显著性差异。结论 农村精神分裂症患者综合效果的改善与社区康复治疗的持续性相关。

关键词: 精神分裂症, 社区康复, 精神病评定量表(BPRS), 阴性症状量表(SANS), 社会功能缺陷量表(SDSS)

Abstract: Objective To explore the effect of gradual community-based rehabilitation on schizophrenia in the countryside. Methods 60 rural patients with schizophrenias were randomly sampled and divided into two groups: the rehabilitation group and the control group. The patients in the rehabilitation group were intervened with comprehensive rehabilitation by specialist, while those in the control group were intervened with follow-up survey. They were assessed with the Brief Psychiatric Rating Scale (BPRS), Scale for Assessment of Negative Symptoms (SANS) and Social Disability Screening Schedule (SDSS) before and 3, 6, 9, 12, 15, 20 months after the rehabilitation. Results The differences in scores of BPRS, SDSS and SANS were more significant with the time of rehabilitation. Conclusion The outcome of the community-based rehabilitation for schizophrenias may associate with the persistence in the countryside.

Key words: schizophrenia, community-based rehabilitation, Brief Psychiatric Rating Scale (BPRS), Scale for Assessment of Negative Symptoms (SANS), Social Disability Screening Schedule (SDSS)