精神分裂症社区康复患者症状严重程度与社会功能关系的随访研究

发布时间：2018-08-05 15:09

【摘要】：目的了解社区精神康复对精神分裂症患者症状严重程度及社会功能的影响,以及社区精神康复下精神分裂症患者症状严重程度与社会功能的关系。方法选取56例社区精神分裂症患者,通过个案管理及小组训练等方式进行社区精神康复,并在基线、随访3个月及6个月时采用阴性与阳性症状(PANSS)量表、个体与社会功能(PSP)量表及世界卫生组织残疾评定(WHO-DAS)量表对其症状严重程度及社会功能进行评定,分析不同时间点各量表评分的差异及相关关系。结果 PANSS总分及各分量表得分在基线、随访3个月及6个月时的评定差异有统计学意义(P0.00),评分呈逐渐下降趋势;随访3个月时PSP总分高于基线时的评定、DAS总分低于基线时的评定,6个月时PSP总分高于3个月时的评定,差异具有统计学意义(P0.05);不同时间点PANSS总分、阴性量表得分及一般病理总分与PSP量表评分呈负相关,与DAS量表评分呈正相关,3个月、6个月时阳性量表得分与PSP量表评分呈负相关,与DAS量表评分呈正相关(P0.01),PANSS总分回归方程具有统计学意义(P0.01)。结论社区精神康复能促进精神分裂症患者社会功能的恢复,且在社区精神康复下社区精神分裂症患者症状严重程度与社会功能密切相关,其症状越严重、治疗效果越差,社会功能恢复越慢。
[Abstract]:Objective to investigate the effect of community mental rehabilitation on the severity of symptoms and social function of schizophrenic patients, and the relationship between the severity of symptoms and social function of schizophrenic patients under community psychiatric rehabilitation. Methods 56 patients with schizophrenia in community were selected for community mental rehabilitation by case management and group training. At baseline, (PANSS) scale for negative and positive symptoms was used at 3 and 6 months follow-up. The severity and social function of individual and social function were evaluated by (PSP) scale and World Health Organization Disability Assessment (WHO-DAS) scale. Results the total score of PANSS and the scores of each subscale were at baseline, and the difference was statistically significant at 3 months and 6 months after follow-up (P0. 00), and the score showed a decreasing trend. After 3 months of follow-up, the total score of PSP was higher than that of baseline. The total score of PSP at 6 months was higher than that at 3 months (P0.05), the total score of PANSS at different time points was lower than that of baseline (P0.05), the total score of PSP at 6 months was higher than that at 3 months (P0.05). The scores of negative scale and general pathological scale were negatively correlated with the score of PSP, positively correlated with the score of DAS, and negatively correlated with the score of PSP at 3 months and 6 months. There was a positive correlation with the score of DAS scale (P0.01) and the regression equation of total score of PANSS had statistical significance (P0.01). Conclusion Community mental rehabilitation can promote the recovery of social function of schizophrenic patients, and the severity of symptoms of community schizophrenic patients is closely related to social function. The more serious the symptoms, the worse the therapeutic effect. The slower the social function recovers.
【作者单位】：四川大学华西医院心理卫生中心;
【基金】：成都市科技支撑项目(No.11PPYB055SF-027)资助
【分类号】：R749.3

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