精神分裂症患者社区康复和长期住院治疗对照研究.docVIP

精神分裂症患者社区康复和长期住院治疗对照研究 　　【摘要】 目的：探讨精神分裂症患者社区康复与长期住院治疗的康复效果。方法：选取2013年 　　3月-2014年4月本院收治的120例精神分裂症患者作为研究对象，按照随机数字表法分为社区组和住院组，每组60例。社区组经短期急性期住院治疗后返回社区康复治疗，住院组进行常规药物治疗，比较两组入组时及1年后社会功能缺陷筛选量表（SDSS）评分、精神病评定量表（BPRS）评分及治疗效果。结果：入组时两组患者的BPRS、SF-36各个维度及SDSS评分比较差异均无统计学意义（P0.05）；治疗1年后，社区组SDSS、一般健康（GH）、社会活动（SF）及心理健康（MH）评分均优于住院组，且精神恢复总有效率高于住院组，比较差异均有统计学意义（P0.05）。结论：住院治疗可有效帮助患者精神恢复正常，但社区康复治疗精神分裂症患者不仅可有效提高患者社会活动能力、且心理健康情况较好、社会功能缺陷程度较低，患者精神恢复好。 　　【关键词】 疗效； 精神分裂； 心理； 康复治疗； 住院治疗； 社区 　　【Abstract】 Objective：To explore the rehabilitation effect of community rehabilitation and long-term hospitalization in patients with schizophrenia.Method：From March 2013 to April 2014，120 cases of schizophrenia in our hospital were selected as the research objects，they were divided into the community group and the inpatient group according to the random number table method，each group had 60 cases.The community group returned to community rehabilitation treatment after the short period of hospitalization，the inpatient group were treated with conventional medicine，the social function defect screening scale （SDSS） score，psychiatric rating scale （BPRS） score and therapeutic effect of two groups were compared at the time of entry and after 1 year.Result：There were no significant differences in BPRS，SF-36 and SDSS scores of two groups at the time of entry（P0.05）.After 1 years of treatment，the community group SDSS，general health （GH），social activities （SF） and mental health （MH） scores were better than the inpatient group，the total effective rate of mental recovery was higher than the inpatient group，the differences were statistically significant（P0.05）.Conclusion：Hospitalization can effectively help patients with mental recovery，but the community rehabilitation treatment of schizophrenia patients not only can effectively improve the ability of social activities and mental health，but also the degree of social function defect is low，the patient mental recovery is good. 　　【Key words】 Curative effect； Schizoph