目的 探讨居家康复措施对社区精神分裂症患者社会功能改善的效果.方法 筛选符合入组标准的精神分裂症患者78例,随机平分为实验组和对照组.对实验组患者实施入户康复指导干预,每周2次;对照组患者不提供康复指导.采用简明精神病评定量表(BPRS)及社会功能缺陷筛选量表(SDSS)分别于干预前、后对两组患者病情进行评估,并统计其再住院率.结果 干预前,两组患者BPRS、SDSS总分比较差异无统计学意义(P＞0.05).干预后,两组患者BPRS、SDSS总分比较差异有统计学意义(P＜0.05),实验组BPRS、SDSS总分明显低于干预前(P＜0.05),对照组BPRS、SDSS总分均有升高趋势;实验组和对照组的再住院率分别为7.69%和28.21%.结论 居家康复措施可改善社区精神分裂症患者的社会功能,促进其病情稳定.%Objective To explore the effect of home based rehabilitation service on improving social function of patients with schizophrenia in community. Methods 78 patients with schizophrenia in community who met inclusion criteria were selected,and randomly and equally divided into experimental group and control group. Patients in experimental group were conducted intervention of home rehabilitation guidance twice a week, and this home rehabilitation guidance did not cover patients in control group. Brief psychiatric rating scale(BPRS) and social disability screening schedule(SDSS) were used to assess patients' condition before and after intervention,and their rehospitalization rates were calculated. Results Before intervention, difference of total scores of BPRS and SDSS of patients between two groups showed no statistically significant(P＞0.05). After intervention, their difference showed statistically significant(P＜0. 05) ,and the total scores of BPRS and SDSS in experimental group were markedly lower than those before intervention(P＜0.05), while in control group they had increasing trends. The rehospitalization rates of patients in experimental group and control group were 7.69 ％ and 28.21％, respectively. Conclusion Home-based rehabilitation service can improvesocial function of patients with schizophrenia in community and promote their condition stabilization.
展开▼
