中国全科医学2018，Vol.21Issue(16)：1998-2002,5.DOI:10.3969/j.issn.1007-9572.2018.16.019
社区多部门系统干预模式对慢性精神分裂症患者症状、社会功能及生存质量的干预效果研究
Community-based Multidisciplinary Systematic Interventions for the Improvement of Symptoms,Social Performance and Quality of Life in Patients with Chronic Schizophrenia
摘要
Abstract
Objective To explore the effect of community-based multidisciplinary systematic interventions on the improvement of symptoms,social performance and quality of life of chronic schizophrenia patients.Methods From March to May 2016,using convenient sampling,we enrolled 128 patients with a confirmed diagnosis of schizophrenia who registered in Pudong New Area Huamu Community Health Service Center located in Shanghai and randomized them into the control group and the intervention group with 64 in each.Both groups received 1-year conventional interventions based on the ways for the management of patients with mental disorders in Pudong New Area delivered by health professionals involved in the prevention and control of mental disorders,the intervention group concurrently received 1-year interventions offered by neighborhood offices, police stations,disabled persons federations,private non-enterprise units (organizations) and so on.Before and at the end of interventions,Positive and Negative Syndrome Scale (PANSS) was used to assess the severity of schizophrenia symptoms, Personal and Social Performance Scale(PSP) was adopted to evaluate the social performance,World Health Organization Quality of Life-Brief(WHOQOL-BPRS) was employed to examine the quality of life,and Family Assessment Device (FAD) was applied to measure the family functioning of the patients.Results Prior to the intervention,the mean scores of PANSS, PSP,WHOQOL-BPRS,and FAD were not significantly different between the two groups (P>0.05).After intervention, compared with the control group,the intervention group demonstrated much lower mean scores of General Psychopathology Scale and PANSS,but significantly higher mean scores of PSP and its items,mean scores of WHOQOL-BPRS and its 2 domains of physiology and social relationship,mean scores of FAD and its 3 domains of problem solving,communication and affective responsiveness (P<0.05) except the scores of other parts of the 4 tools (Negative Scale and Positive Scale,mental and environmental domains of WHOQOL-BPRS,roles,affective involvement and behavioral control domains of FAD) were still similar (P>0.05).Conclusion Community-based multidisciplinary systematic interventions play a positive role in improving the rehabilitation of schizophrenia patients via enhancing the symptoms,quality of life as well as social performance.关键词
精神分裂症/社区精神卫生服务/阳性与阴性症状量表/个人和社会功能量表/世界卫生组织生存质量测定量表/家庭功能评定量表Key words
Schizophrenia/Community mental health services/Positive and Negative Symptoms Scale/Personal and Social Performance Scale/World Health Organization Quality of Life/Family Assessment Device分类
医药卫生引用本文复制引用
尹华卿..社区多部门系统干预模式对慢性精神分裂症患者症状、社会功能及生存质量的干预效果研究[J].中国全科医学,2018,21(16):1998-2002,5.基金项目
上海市浦东新区卫生系统优秀青年医学人才培养项目(PWRq2015-33) （PWRq2015-33）
