主动式社区家庭治疗对精神分裂症患者家庭环境及依从性的影响

发布时间：2018-07-02 19:38

本文选题：精神分裂症 + 主动式社区治疗　；参考：《中国康复理论与实践》2017年01期

【摘要】：目的探索主动式社区家庭治疗对改善精神分裂症患者家庭环境及依从性的影响。方法 2014年1月至2015年9月出院精神分裂症患者122例及其家庭,抽签法分为干预组和对照组各61例。干预组借鉴主动式社区治疗模式,组成专业团队进行家庭治疗等综合干预,对照组接受定期随访,为期1年。入组前、入组6个月及12个月后,用阳性和阴性症状量表(PANSS)、自知力与治疗态度问卷(ITAQ)、家庭环境量表中文版(FES-CV)、药物治疗持续时间、复发率等评估干预效果。结果入组6个月及12个月后,干预组PANSS总分、ITAQ、FES-CV评分均优于对照组(F_(组间)1.760,P0.05);对照组在观察期内复发16例,干预组复发7例(χ~2=4.340,P=0.037)。药物治疗持续时间Kaplan-Meier生存分析存在统计学差异(χ~2=6.338,P=0.012)。结论主动式社区家庭治疗能提高精神分裂症患者家庭成员间亲密度,减少高情感表达,提高服药依从性,减少复发。
[Abstract]:Objective to explore the effect of active community family therapy on improving the family environment and compliance of schizophrenic patients. Methods from January 2014 to September 2015, 122 patients with schizophrenia and their families were divided into two groups by drawing lots: the intervention group (n = 61) and the control group (n = 61). The intervention group used the active community therapy model for reference and formed a professional team to carry out comprehensive interventions such as family therapy. The control group received regular follow-up for one year. Before, after 6 months and 12 months, the intervention effect was evaluated with PANSS, ITAQ, FES-CV, duration of drug therapy, recurrence rate and so on. Results after 6 months and 12 months, the total PANSS score of intervention group was superior to that of control group (F760 P 0.05), and that of control group was 16 cases and intervention group 7 cases (蠂 24.340 P 0.037). Kaplan-Meier survival analysis showed statistical difference in the duration of drug therapy (蠂 2: 6.338 P 0.012). Conclusion active community family therapy can improve family members' affinity, reduce high emotional expression, improve drug compliance and reduce recurrence.
【作者单位】：上海市普陀区精神卫生中心;同济大学附属同济医院;
【基金】：上海市普陀区临床重点专科建设项目(No.普卫计[2014]36号)
【分类号】：R749.3

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