社区系统的家属健康教育对精神分裂症疗效的影响

发布时间：2019-03-07 09:42

【摘要】：目的：探讨社区系统的家属健康教育对精神分裂症疗效的影响。方法：利用随机数字表，将在社区登记的230例出院的精神分裂症患者分为研究组和对照组，，各115例。两组患者均常规抗精神病药物治疗，其中研究组家属接受社区系统的家属健康教育。在入组时、一年后分别对两组患者用个人和社会功能量表(PSP)、阳性症状与阴性症状评定量表(PANSS)进行评估和比较，并且对两组患者一年后的复发率及再住院率进行比较。结果：入组时，研究组与对照组的PSP、PANSS评分差异无显著性。一年后研究组PSP评分(59.44±17.40)高于对照组(48.78±19.89)，差异具有显著性(t=4.327，P0.05)；研究组PANSS总评分(55.21±23.84)低于对照组(64.06±29.83)，差异具有显著性(t=-2.486，P0.05)；研究组复发率12.17％(14例)低于对照组38.26％(44例)，差异具有显著性(X~2=20.75，P0.05)；研究组再住院率9.57％(11例)低于对照组25.22％(29例)，差异具有显著性(2=9.805，P0.05)。结论：社区系统的家属健康教育有利于精神分裂症患者的症状改善，社会功能的恢复，降低了患者的复发率、再住院率。
[Abstract]:Objective: to investigate the effect of family health education on schizophrenia in community system. Methods: 230 discharged schizophrenic patients registered in the community were divided into study group (n = 115) and control group (n = 115). The patients in both groups were treated with antipsychotic drugs, and the family members in the study group received family health education in the community system. One year later, the patients in the two groups were evaluated and compared with the (PSP), positive symptom scale and the negative symptom rating scale (PANSS) one year later, and the recurrence rate and re-hospitalization rate of the two groups were compared after one year. Results: there was no significant difference in PSP,PANSS score between the study group and the control group. One year later, the PSP score of the study group (59.44 卤17.40) was higher than that of the control group (48.78 卤19.89), the difference was significant (t = 4.327, P0.05). The total PANSS score in the study group (55.21 卤23.84) was significantly lower than that in the control group (64.06 卤29.83) (t = 2.486, P0.05). The recurrence rate in the study group was 12.17% (14 cases) lower than that in the control group (38.26%, 44 cases) (P 0.05). The re-hospitalization rate of the study group was 9.57% (11 cases) lower than that of the control group (25.22%, 29 cases), the difference was significant (2%, 9.805, P0.05). Conclusion: the health education of family members in community system is beneficial to the improvement of symptoms, the recovery of social function and the reduction of recurrence rate and re-hospitalization rate of schizophrenic patients.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R749.3

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