社区综合干预对精神分裂症患者康复、社会功能及社会经济效益影响的研究

The effect of community comprehensive intervention on rehabilitation, social function and social and economic benefits of schizophrenics

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(5)
作者
作者单位

北京市丰台区南苑医院 ;
北京市丰台区丰台社区卫生中心 ;
首都医科大学 ;

摘要
【摘要】目的:探讨社区综合干预对精神分裂症患者康复、社会功能及社会经济效益的影响。方法:取2014年6月-2017年5月丰台社区中在册管理的社区患者300例,随机数字法分为药物治疗组(OMT组,n=100)、药物治疗结合心理教育治疗组(MCP组,n=100)及药物结合心理教育及技术培训治疗组(MCPS组,n=100)。OMT组采用齐拉西酮、利培酮治疗,MCP组在OMT组基础上联合心理教育治疗,MCPS组在OMT组、MCP组基础上联合技术培训治疗,采用社会功能缺陷评定量表(SDSS)及阳性及阴性症状(PANSS)对2组治疗前、后社会功能进行评估,通过现场组织活动谈话和问卷、电话联系方式收集患者社会经济效益。结果:MCPS组治疗依从率为97.00%,MCP组治疗依从率87.00%,OMT组治疗依从率为82.00%,3组治疗依从率比较差异有统计学意义(P<0.05);MCPS组治疗后6个月SDSS及PANSS量表评分,均低于MCP组和OMT组(P<0.05);MCP组治疗后6个月SDSS及PANSS量表评分,均低于OMT组(P<0.05);MCPS组治疗后6个月直接成本与间接成本,均低于MCP组和OMT组(P<0.05);MCP组治疗后6个月直接成本与间接成本,均低于OMT组(P<0.05)。结论:将社区综合干预用于精神分裂症患者中效果理想,值得推广应用。
Abstract
[Abstract] Objective:To explore the effect of community comprehensive intervention on rehabilitation, social function and social and economic benefits of schizophrenics. Methods: 300 patients in community from June 2014 -2017 year in May in Fengtai community management were randomly divided into treatment group (group OMT, n=100), drug therapy combined with psychological education treatment group (group MCP, n=100) and drug combined with psychological education and technical training treatment group (group MCPS, n=100). Group OMT was treated with ziprasidone and risperidone in the treatment group, MCP in OMT group on the basis of education combined with psychological therapy, in group MCPS, OMT group, MCP group based on the combined treatment of technical training, the social disability rating scale (SDSS) and the positive and negative symptoms (PANSS) were evaluated in 2 groups before and after treatment, social function with the social and economic benefits, collected through on-site activities questionnaire, telephone contact and conversation. Results: MCPS group treatment compliance rate was 97%, the rate of compliance with MCP group 87%, OMT group treatment compliance rate was 82%, the treatment compliance rate difference between the 3 groups have statistical significance (P<0.05); MCPS group 6 months after treatment, SDSS and PANSS score were lower than MCP group and OMT group (P<0.05); MCP group 6 months after treatment, SDSS and PANSS score were lower than those in group OMT (P<0.05); 6 months of direct cost and indirect cost of the MCPS group after treatment were lower than those of MCP group and OMT group (P<0.05); 6 months of direct cost and indirect cost of the MCP group after treatment were lower than those in group OMT (P<0.05). Conclusion: community comprehensive intervention is ideal for schizophrenia patients and is worthy of popularization and application.
关键词
【关键词】社区综合干预;精神分裂症;社会功能;社会经济效益;治疗依从性
KeyWord
[keywords] community comprehensive intervention; schizophrenia; social function; social and economic benefits; treatment compliance
基金项目
页码 847-850
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李志武*,康瑞莹,何燕. 社区综合干预对精神分裂症患者康复、社会功能及社会经济效益影响的研究 [J]. 国际精神病学杂志. 2018; 45; (5). 847 - 850.

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