综合干预治疗对长期住院慢性精神分裂症患者生活质量和社会功能的影响(1)
【摘要】 目的：探讨综合干预治疗对长期住院慢性精神分裂症患者生活质量和社会功能的影响。方法：选取2015年3月-2017年12月长期住院的精神分裂症患者125例作为研究对象，按照随机数字表法分为对照组(n=62)与研究组(n=63)，对照组单纯采用药物治疗，研究组在药物治疗的基础上采用综合干预治疗。比较两组治疗前与治疗12个月后阳性与阴性症量表(PANSS)、世界卫生组织生存质量测定量表简表(WHOQOL-100)及社会功能缺陷筛选量表(SDSS)评分。结果：治疗12个月后，研究组阴性症状评分、PANSS总分及SDSS评分均明显低于对照组(P<0.05)。治疗12个月后，两组精神领域、精神信仰评分比较，差异均无统计学意义(P>0.05);研究组生活质量、生活领域、心理领域、独立性领域及社会关系领域评分均明显高于对照组(P<0.05)。结论：基于药物治疗下，采用综合干预长期住院精神分裂症患者可改善患者社会功能与生活质量。
【关键词】 精神分裂症; 综合干预; 生活质量; 社会功能
Effect of Comprehensive Intervention on Quality of Life and Social Function in Patients with Chronic Schizophrenia/MAI Lanhua.//Medical Innovation of China，2019，16(25)：-168
【Abstract】 Objective：To investigate the effect of comprehensive intervention on the quality of life and social function in patients with chronic schizophrenia.Method：A total of 125 patients with schizophrenia hospitalized form March 2015 and December 2017 were divided into control group(n=62)and study group(n=63)according to the random number table method.The control group was treated with medication alone，the study group was treated with comprehensive intervention on the basis of medication.The positive and negative disease syndrome scale(PANSS)，the world health organization quality of life-100(WHOQOL-100)and the social disability screening scale(SDSS)scores of the two groups were compared before and 12 months after treatment.Result：After 12 months of treatment，the scores of negative symptoms，PANSS and SDSS in the study group were significantly lower than those in the control group(P<0.05).After 12 months of treatment，there was no significant change in the spiritual field and belief scores between the two groups(P>0.05).The quality of life，life field，psychological field，independence field and social relationship field scores in the study group were significantly higher than those in the control group(P<0.05).Conclusion：Under the condition of medication，comprehensive intervention in long-term inpatient with schizophrenia can improve patient social function and quality of life.
【Key words】 Schizophrenia; Comprehensive intervention; Quality of life; Social function
First-author’s address：The Qishan Hospital of Panyu，Guangzhou 511483，China
doi：10.3969/j.issn.1674-4985.2019.25.042
精神分裂癥是一种慢性精神疾病，大部分患者需要长时间在住院治疗，病情治愈难度高，且伴认知功能不足，包括思维、感知与行为等不同方面的障碍。因精神科病房的管理模式均为封闭式，所以伴大量依从性较差的现象，不利于患者疾病的治疗与预后[1-2]。同时社会功能与认知功能下降，使患者的生活质量受到严重影响[3]。为提高患者长期治疗后的预后及生活质量，本文针对长期住院慢性精神分裂症患者采取综合干预治疗，探讨干预12个月后生活质量与社会功能情况，现报道如下。, 百拇医药(麦兰花)
【关键词】 精神分裂症; 综合干预; 生活质量; 社会功能
Effect of Comprehensive Intervention on Quality of Life and Social Function in Patients with Chronic Schizophrenia/MAI Lanhua.//Medical Innovation of China，2019，16(25)：-168
【Abstract】 Objective：To investigate the effect of comprehensive intervention on the quality of life and social function in patients with chronic schizophrenia.Method：A total of 125 patients with schizophrenia hospitalized form March 2015 and December 2017 were divided into control group(n=62)and study group(n=63)according to the random number table method.The control group was treated with medication alone，the study group was treated with comprehensive intervention on the basis of medication.The positive and negative disease syndrome scale(PANSS)，the world health organization quality of life-100(WHOQOL-100)and the social disability screening scale(SDSS)scores of the two groups were compared before and 12 months after treatment.Result：After 12 months of treatment，the scores of negative symptoms，PANSS and SDSS in the study group were significantly lower than those in the control group(P<0.05).After 12 months of treatment，there was no significant change in the spiritual field and belief scores between the two groups(P>0.05).The quality of life，life field，psychological field，independence field and social relationship field scores in the study group were significantly higher than those in the control group(P<0.05).Conclusion：Under the condition of medication，comprehensive intervention in long-term inpatient with schizophrenia can improve patient social function and quality of life.
【Key words】 Schizophrenia; Comprehensive intervention; Quality of life; Social function
First-author’s address：The Qishan Hospital of Panyu，Guangzhou 511483，China
doi：10.3969/j.issn.1674-4985.2019.25.042
精神分裂癥是一种慢性精神疾病，大部分患者需要长时间在住院治疗，病情治愈难度高，且伴认知功能不足，包括思维、感知与行为等不同方面的障碍。因精神科病房的管理模式均为封闭式，所以伴大量依从性较差的现象，不利于患者疾病的治疗与预后[1-2]。同时社会功能与认知功能下降，使患者的生活质量受到严重影响[3]。为提高患者长期治疗后的预后及生活质量，本文针对长期住院慢性精神分裂症患者采取综合干预治疗，探讨干预12个月后生活质量与社会功能情况，现报道如下。, 百拇医药(麦兰花)