《中国康复理论与实践》

《中国康复理论与实践》 ›› 2002, Vol. 8 ›› Issue (06): 355-357.

• 精神病康复 • 上一篇    下一篇

家庭干预对农村慢性精神分裂症患者作用的随访研究

杨翠兰; 张小兵; 杨凤林; 谭淑清; 刘国友   

  1. 平谷区精神病医院 北京市 101201
  • 收稿日期:2002-01-28 出版日期:2002-06-25 发布日期:2002-06-25

A follow-up study of family intervention for rehabilitating chronic outpatients with schizophrenia in the country

YANG Cui-lan,ZHANG Xiao-bing, YANG Feng-lin,et al   

  1. Ping Gu Psychiatric Hospital,Beijing 101201,China
  • Received:2002-01-28 Published:2002-06-25 Online:2002-06-25

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被引次数

3

摘要： 目的探讨家庭干预对农村慢性精神分裂症患者的康复作用和其经济效益。方法将 90例慢性精神分裂症患者随机分为干预组和对照组各45例;对干预组定期进行以心理教育为主的家庭干预1年。在入组时、入组第6个月和第12个月用SDSS、SAPS、SANS、MRSS对两组患者进行评估,且比较两组1年的经济收入和支出情况。结果在家庭干预的第6个月和12个月时,干预组SDSS、SAPS、SANS、MRSS的均值,及间接医疗费用均低于对照组,复工收入高于对照组(均为P<0.001)。结论对农村慢性精神分裂症患者实施家庭干预治疗,既有利于控制其病情和提高其社会功能,又可减轻患者家庭的经济负担。

关键词: 精神分裂症, 家庭干预, 康复, 经济效益

Abstract: ObjectiveThe trial was to examining the effectiveness and cost effects of family intervention for rehabilitating chronic outpatients with schizophrenia in the country.Methods90 subjects were randomly assigned to the family intervention group and the control group. Both groups received the same treatments, but the family intervention courses mainly containing mental health education were given to the family intervention group for one year. During the time, all subjects were evaluated with standard rating scales and self made criteria. ResultsThe family intervention group demonstrated clinical results significantly superior to those of the control group on overall improvement according to the scores on the SDSS, the SAPS, the SANS and the MRSS. Substantially, the direct and indirect average cost in the family intervention group was significantly lower than those of the control group. Conclusions Family intervention is effective not only in making the schizophrenics recover from illness but also in both increasing their social functions and reducing their medical cost.

Key words: schizophrenia, family intervention, rehabilitation, cost effect