【摘要】 目的探讨社区监管和药物自我处置程序化训练对首发精神分裂症康复的效果。方法对首发精神分裂症患者纳入社区管理,随机分为干预组48例和对照组50例,进行为期18个月的追踪随访,采用简明精神病评定量表(BPRS)、社会功能缺陷筛选量表(SDSS)和自知力与治疗态度问卷(ITAQ)进行康复效果评估。结果干预组在随访18个月后的BPRS、SDSSI、TAQ评分,服药依从性、复发率和再住院率、肇事肇祸的评级均显著优于对照组(P<0.05)。结论开展社区管理和配合药物自我处置程序化训练,可提高社区首发精神分裂症患者的服药依从性、恢复社会功能,降低复发率和再住院率,减少肇事肇祸行为,效果良好。更多还原

【Abstract】 Objective To explore the effect of community management and self-medication sequencing training on the rehabilitation of first-episode schizophrenic patients.Methods A total of 98 patients with first-episode schizophrenia were randomly divided into intervention group treated with community management and self-medication sequencing training and control group without those managements for 18 months of treatment.The rehabilitation effect was assessed with brief psychiatric rating scale(BPRS),social disability screening schedule(SDSS) and insight treatment attitude questionnaire(ITAQ).Results After 18-month intervention,scores of BPRS,SDSS,ITAQ,adherence of medicine,relapse rate,rehospitalization rate and troublemaking rating in intervention group were significantly better than those in control group(P<0.05).Conclusion Community management and self-medication sequencing training are effective for improving the medicine adherence,recovering social function,reducing the relapse rate,rehospitalization rate and the incidence of troublemaking.更多还原