社区精神分裂症患者暴力行为家庭干预效果评价

发布时间：2018-07-21 16:36

【摘要】：目的探讨家庭干预对控制社区精神分裂症患者暴力攻击行为的效果,观察家庭干预对精神分裂症患者的病情、生活质量、家庭关怀度的影响。方法将研究对象随机分为干预组和对照组各50例,干预组给予家庭干预+常规抗精神病药物治疗,对照组仅给予常规抗精神病药物治疗;运用阳性和阴性症状评定量表(PANSS)、攻击行为问卷(MOAS)、生活质量指数问卷(QL-Index)、家庭关怀度指数问卷(Family APGAR Index)及治疗中的症状量表(TESS)等量表评估2组入组前后1年内的攻击行为及病情变化等情况。结果研究组在入组后各随访期内的攻击行为问卷评分明显低于对照组(P0.01),在入组后第12个月,干预组MOAS均分为(1.06±0.65)分较对照组(8.12±2.32)分低,差异有统计学意义;干预组的PANSS评分自入组后第2个月开始明显低于对照组,干预组在入组后1年内总住院例次为14例次明显低于对照组26例次(P0.01);QL-Index、Family APGAR Index评分在入组后各随访期均明显高于对照组(P0.01)。结论社区精神分裂症患者发生暴力攻击行为的危险性较高,家庭干预能有效减少社区精神分裂症患者的暴力攻击行为,有利于患者病情恢复,提高生活质量,值得临床推广应用。
[Abstract]:Objective to investigate the effect of family intervention on controlling violent aggression in community schizophrenic patients, and to observe the effects of family intervention on the condition, quality of life and family care of schizophrenic patients. Methods the subjects were randomly divided into two groups: the intervention group (n = 50) and the control group (n = 50). Using positive and negative symptom scale (PANSS), aggression behavior questionnaire (MOAS), quality of life index (QL-Index), family care index (Family APGAR Index) and treatment symptom scale (Tess) to evaluate the aggressive behavior of the two groups within one year before and after entering the group. In order to and so on the condition change and so on. Results the scores of aggression behavior questionnaire in the study group were significantly lower than those in the control group (P0.01), and the scores of MOAS in the intervention group (1.06 卤0.65) were significantly lower than those in the control group (8.12 卤2.32) at the 12th month after entering the group. The PANSS score of the intervention group was significantly lower than that of the control group from the 2nd month after entering the group, and the total hospitalization time of the intervention group was 14 times lower than that of the control group (P0.01). The scores of QL-Index Family APGAR index of the intervention group were significantly higher than those of the control group in each follow-up period (P0.01). Conclusion the risk of violent aggression in community schizophrenic patients is higher. Family intervention can effectively reduce the violent aggression behavior of community schizophrenic patients, which is beneficial to the recovery of patients' condition and the improvement of their quality of life. It is worth popularizing and applying in clinic.
【作者单位】：杭州市第七人民医院精神科;
【基金】：浙江省医药卫生科技计划项目(2011KAY133)
【分类号】：R749.3

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