《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (2): 170-173.

• 论文 • 上一篇    下一篇

电话随访对精神分裂症患者家庭康复的影响

董雪刚，郭丽春   

  1. 武穴市精神病医院，湖北武穴市435400。
  • 收稿日期:2012-08-10 修回日期:2012-09-12 出版日期:2013-02-25 发布日期:2013-02-25

Influence of Telephone Follow-up on Home Rehabilitation for Patients with Schizophrenia

DONG Xue-gang, GUO Li-chun.   

  1. The Psychiatric Hospital of Wuxue City, Wuxue 435400, Hubei, China
  • Received:2012-08-10 Revised:2012-09-12 Published:2013-02-25 Online:2013-02-25

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摘要： 目的探讨电话随访对精神分裂症患者家庭康复的影响。方法将200 例精神分裂症患者分为试验组和对照组，每组各100 例，住院期间按诊疗常规治疗护理，给予非典型抗精神病药治疗，临床痊愈出院后，对照组门诊随诊，试验组电话随访干预，时间2 年。结果两组阳性与阴性症状量表(PANSS)评分有随时间变化的趋势(F组内=85.943, P=0.000)，干预与时间有交互效应(F交互=6.458, P=0.000)且存在组间差异(F组间=26.012, P=0.000)；同期对照比较，在出院后6、12、18、24 个月末，试验组增分幅度均小于对照组(P<0.05)，各时点累计复发率和复发次数试验组均低于对照组(P<0.05)。结论电话随访可提高精神分裂症患者家庭康复效果，有利于患者保持病情稳定，减少复发。

关键词: 精神分裂症, 随访, 康复

Abstract: Objective To explore the influence of telephone follow-up on home rehabilitation for patients with schizophrenia. Methods 200 patients with schizophrenia were assigned into experimental group and control group with 100 cases in each group. During their hospitalization,all patients were given conventional treating and nursing and were treated with atypical antipsychotic drugs. After getting a clinical recovery and discharge, the experimental group received telephone follow-up for 2 years while the control group received outpatient service follow-up. Results There was significant difference in scores of Positive and Negative Syndrome Scale (PANSS) in both groups with time (F=85.943, P=0.000). There was a significant interaction effect between intervention and time (F=6.458, P=0.000) and there was also a significant difference (F=26.012, P=0.000) between both groups on the scores of PANSS. At the end of the 6th, 12th, 18th and 24th month after discharge, the PANSS scores were significantly less in the experimental group than in the control group (P<0.05). The accumulative total relapse rate and frequency were significantly lower in the experimental group than in the control group anytime after discharge (P<0.05).Conclusion The telephone follow-up can significantly improve the effect of home rehabilitation for the patients with schizophrenia. It is beneficial for the patients to control disease and reduce the relapse.

Key words: schizophrenia, follow-up, rehabilitation