综合干预联合抗精神病药物治疗社区精神分裂症患者的效果及影响其社会功能恢复的相关因素分析

Effects of comprehensive intervention combined with antipsychotics for treatment of schizophrenia patients in community and influencing factors affecting social function in patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

四川广元市精神卫生中心 ;

摘要
【摘要】目的:探讨综合干预联合抗精神病药物治疗社区精神分裂症患者的效果及影响其社会功能恢复的相关因素分析。方法:选取我市病情稳定的社区精神分裂症患者160例,按照完全随机化原则将其分为对照组和干预组,每组各80例。其中对照组给予常规抗精神病药物治疗,干预组在对照组基础上给予综合干预治疗。观察比较两组患者阳性和阴性症状量表(PANSS)、社会功能缺陷筛选量表(SDSS)及Morning Side康复状态量表(MRSS)评分。结果:干预3、12个月后,干预组PANSS、SDSS、MRSS评分均明显低于对照组,差异具有统计学意义(P<0.05);且与同组入组时比较,干预组干预3、12个月后以上评分均明显降低,差异具有统计学意义(P<0.05)。多元逐步回归法结果显示,是否干预、入组时PANSS评分、MRSS评分、病程4个自变量与社会功能恢复呈线性回归关系,其中入组时MRSS评分对社会功能恢复的影响最大。结论:综合干预联合抗精神病药物治疗社区精神分裂症患者的效果显著,可有效控制精神症状,促进患者恢复,增强其社会功能。
Abstract
【Abstract】Objectives: To investigate the effects of comprehensive intervention combined with antipsychotics for treatment of schizophrenia patients in community and influencing factors affecting social function in patients. Methods: 160 patients with stable schizophrenia in citys community were chosen. According to the principle of completely random, all patients were divided into control and intervention groups, each group 80 cases. In the control group patients received conventional antipsychotics, while in the intervention group patients received comprehensive intervention based on control group. The scores of Positive and Negative Syndrome Scale (PANSS), Social Disability Screening Schedule (SDSS) and Morning Side Rehabilitation Status Scale (MRSS) were observed and compared between the two groups. Results: After 3 and 12 months of the intervention, the PANSS, SDSS, MRSS scores in intervention group were significantly lower than those in the control group, the differences were statistically significant (P <0.05). Compared to the same group before intervention, the above scores were significantly lower after intervention, the differences were statistically significant (P <0.05). Multiple stepwise regression showed that, whether the intervention, the PANSS score and MRSS score before intervention, duration were have a linear regression with social functional recovery, in which the MRSS scores before intervention of the maximum effect. Conclusion: The effect of comprehensive intervention combined with antipsychotics for treatment of schizophrenia patients in community is significant, which can effectively control psychotic symptoms, improve patients’ recovery and enhance its social function.
关键词
【关键词】精神分裂症;社区;综合干预;社会功能
KeyWord
【Key words】Schizophrenia; Community; Comprehensive intervention; Social functions
基金项目
页码 46-48
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许可*,王徳燧,李真,何宇. 综合干预联合抗精神病药物治疗社区精神分裂症患者的效果及影响其社会功能恢复的相关因素分析 [J]. 国际精神病学杂志. 2017; 44; (1). 46 - 48.

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