综合性干预在精神分裂症患者中的应用效果及对生活质量影响

The effect of comprehensive intervention on the quality of life in patients with schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

滁州市第二人民医院精神科 ;

摘要
【摘要】目的:研究综合性干预精神分裂症患者中的应用效果及对生活质量影响。方法:研究对象选取滁州市第一人民医院精神科在2013年1月到2014年12月间收治的精神分裂症患者120例,均经系统治疗病情达临床痊愈。采用随机数字法将其分为对照组和观察组,每组各60例。对照组患者出院后给予常规指导和随访,观察组患者给予综合性干预,持续干预2年。比较两组患者干预前、干预后2年的阳性与阴性症状量表(PANSS)、社会功能评定量表(SDSS)、家庭功能评定量表(FAD)及生活质量综合评定问卷(GQOLI)评分。结果:干预后,观察组的阴性、阳性症状及PANSS总分均明显低于对照组(P<0.01),观察组的SDSS和FAD评分均明显低于对照组(P<0.01),观察组的躯体功能、心理功能、社会功能及总体生活质量评分均明显高于对照组(P<0.01)。结论:综合性干预能够有效改善精神分裂症患者出院后的精神症状,提高患者的社会功能及生活质量,提升家属幸福感,值得在临床推广。
Abstract
[Abstract]Objective:To study the application effect and its influence on quality of life of the comprehensive intervention in patients with schizophrenia.Methods:The subjects were 120 schizophrenic patients in psychiatric first peoples Hospital of Chuzhou city between January 2013 to December 2014,all the patients were cured by systemic treatment., random number.randomly divided into control group and observation group,60 cases in each group.the control group were given routine guidance and follow-up after discharge,the observation group were given comprehensive intervention, intervention continued for 2 years.compared two groups of the positive and negative symptom scale (PANSS), social function rating scale (SDSS), family function rating scale (FAD) and quality of life questionnaire (GQOLI) score before intervention and 2 years after intervention.Results: after the intervention, the observation group of negative and positive symptoms and PANSS scores were significantly lower than the control group (P<0.01), the observation group of the SDSS and FAD scores were significantly lower than the control group (P<0.01), the observation group of the physical function, psychological function, social function and overall quality of life scores were significantly higher than the control group (P<0.01). Conclusion:the comprehensive intervention can improve the symptoms of schizophrenia after discharge, improvePatients social function and quality of life, to enhance the family happiness, it is worth in clinical promotion.
关键词
【关键词】综合性干预;精神分裂症;应用效果;生活质量
KeyWord
[Key words] comprehensive intervention; schizophrenia; application effect; quality of life
基金项目
页码 226-229
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王彬*,孙莉,陈兴,郭建. 综合性干预在精神分裂症患者中的应用效果及对生活质量影响 [J]. 国际精神病学杂志. 2017; 44; (2). 226 - 229.

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