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多维度康复模式对社区精神分裂症患者的干预效果研究

鄢慧妤 冉瑞珍 钟梓涵 蒋静 毕腊梅 刁亚红

中国全科医学2016,Vol.19Issue(31):3870-3873,4.
中国全科医学2016,Vol.19Issue(31):3870-3873,4.DOI:10.3969/j.issn.1007-9572.2016.31.023

多维度康复模式对社区精神分裂症患者的干预效果研究

Intervention Effects of Multidimensional Rehabilitation Model on Community Patients with Schizophrenia

鄢慧妤 1冉瑞珍 1钟梓涵 1蒋静 1毕腊梅 1刁亚红1

作者信息

  • 1. 610041四川省成都市武侯区玉林社区卫生服务中心全科,护理科
  • 折叠

摘要

Abstract

Objective To investigate the intervention effects of multidimensional rehabilitation model on community patients with schizophrenic, and to further explore the suitable rehabilitation model for Chinese patients with schizophrenia.Methods 103 patients with schizophrenia who received treatment in Yulin Community Health Service Center and outpatient clinic of Huaxi Mental Health Center from June 2010 to September 2012 were selected.All the patients were divided into study group ( n =59 ) and control group ( n =44 ) by random number table method.Control group adopted conventional community rehabilitation mode, while study group used multidimensional rehabilitation model.Two groups were intervened for 2 years.Positive and Negative Syndrome Scale ( PANSS ) , Social Disability Screening Schedule ( SDSS ) and Family Interview Schedule ( FIS) were applied to evaluate the results.Results During the experiment, the duration of 5 patients′participation was less than 50% and thus they were excluded; subjects in control group had all completed follow -up and psychological assessment.Therefore, 98 patients were finally included in the study, including 54 patients in study group and 44 in control group.The effective recovery rate of social function in study group after intervention was significantly higher than that in control group (P<0.05) .PANSS, SDSS and FIS scores were not significantly different between two groups before intervention (P>0.05); PANSS, SDSS and FIS scores in study group after intervention were significantly lower than those in control group (P<0.05) .Conclusion The multidimensional rehabilitation model has obtained good effects on rehabilitation of patients with <br> schizophrenia (including improvement of psychiatric symptoms, rehabilitation of social function, reducing of family burden). At the same time, in order to implement localized multidimensional rehabilitation model, comprehensive considerations of local policies, local characteristics, and the quality and ability level of rehabilitation workers are needed.

关键词

社区/精神分裂症/多维度康复模式/干预效果

Key words

Community/Schizophrenia/Multidimensional rehabilitation model/Intervention effect

分类

医药卫生

引用本文复制引用

鄢慧妤,冉瑞珍,钟梓涵,蒋静,毕腊梅,刁亚红..多维度康复模式对社区精神分裂症患者的干预效果研究[J].中国全科医学,2016,19(31):3870-3873,4.

基金项目

教育部人文社会科学研究项目 ()

中国全科医学

OA北大核心CSTPCD

1007-9572

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