首发精神分裂症患者家庭干预的效果评估

Evaluation of family intervention in patients with first-episode schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(1)
作者
作者单位

广东省佛山市第三人民医院 ;

摘要
目的:观察家庭干预在首发精神分裂症患者康复中的效果作用。方法:选取2017年7月~2019年6月在我院住院治疗后病情稳定且正在服用药物的72例首发精神分裂症患者用随机数字表法将他们随即分为两组。其中对照组36名患者非家庭干预,研究组36例患者采取家庭干预。采用阴性和阳性量表(PANSS)、世界卫生组织生存质量测定量表(WHOQOL-BREF)、个体和社会功能量表(PSP)对两组患者治疗效果以及治疗前后社会功能、生活质量进行比较,并统计两组的复发率。结果:家庭干预6月后,研究组36例患者PANSS减分较明显,疗效优于对照组,对比差异有统计学意义(P<0.05);研究组患者WHOQOL-BREF评分、PSP评分明显优于对照组,差异有统计学意义(P<0.05);研究组复发率明显低于对照组,差异有统计学意义(P<0.05)。结论:家庭干预能提高首发精神分裂症患者的疗效,可进一步改善患者生活质量及社会功能,能降低复发率,减轻患者家属经济负担,值得在临床中大范围推广、普及。
Abstract
Objective: To observe the effect of family intervention on the rehabilitation of patients with first-episode schizophrenia. Methods: Seventy-two patients with first-episode schizophrenia who were stable and taking drugs after hospitalization in our hospital from July 2017 to June 2019 were randomly divided into two groups by random number table method. Among them, 36 patients in the control group received non-family intervention, and 36 patients in the research group received family intervention. The negative and positive scale (PANSS), who quality of life measurement scale (whoqol-bref), and individual and social function scale (PSP) were used to compare the treatment effect, social function and quality of life before and after treatment of patients in the two groups, and the recurrence rate of the two groups was calculated. Results: Six months after family intervention, PANSS score of 36 patients in the study group was significantly reduced, and the efficacy was better than that of the control group, with statistically significant difference (P < 0.05). Whoqol-bref score and PSP score in the study group were significantly better than those in the control group, with statistically significant differences (P < 0.05). The recurrence rate of the study group was significantly lower than that of the control group, and the difference was statistically significant (P < 0.05).CONCLUSION: Family intervention can improve the efficacy of patients with first-episode schizophrenia, further improve the quality of life and social function of patients, reduce the recurrence rate, and reduce the financial burden of patients families, which is worthy of extensive promotion and popularization in clinical practice
关键词
家庭干预;首发精神分裂症;治疗效果
KeyWord
Family intervention; First-episode schizophrenia; Treatment effect
基金项目
页码 33-36
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刘志玲*. 首发精神分裂症患者家庭干预的效果评估 [J]. 国际精神病学杂志. 2020; 47; (1). 33 - 36.

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2022-11-07 11:12:43

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