【作者】 江长旺； 朱春燕； 陶云海； 申变红； 徐婷婷； 施剑飞；

【Author】 JIANG Chang-wang, ZHU Chun-yan, TAO Yun-hai SHEN Bian-hong XV Ting-ting, SHI Jian-fei Psychiatry Department, Hangzhou Seventh Hospital, Hangzhou 310013, Zhejiang, China

【机构】 浙江杭州市第七人民医院；

【摘要】 目的探讨家庭干预对控制社区精神分裂症患者暴力行为的效果,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。方法将符合ICD-10诊断标准的社区精神分裂症患者100例,随机分为研究组和对照组各50例,研究组给予家庭干预+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PANSS、MOAS、QL-Index、FamilyAPGARindex及TESS等量表评估两组入组前后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1年内的各随访期内的攻击行为次数及攻击行为问卷评分显著低于对照组(P<0.01);研究组的PANSS评分自入组后第1个月开始显著低于对照组,研究组在入组后1年内总住院例次为14例次显著低于对照组26例次(P<0.01);QL-Index、Family APGAR index评分在入组后各随访期均显著高于对照组(P<0.01)。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。更多还原

【Abstract】 OBJECT: To investigate the effects of family intervention on the aggressive behavior, life quality, and family care of schizophrenics in community. METHOD: 100 schizophrenics (diagnosed based on ICD-10 standard) in community were randomly divided into two groups. 50 patients in study group were subjected to family intervention besides conventional antipsychotics, while 50 patients in control group were only treated with conventional antipsychotics. All patients in both groups were following up and assessed with aggressive behavior questionnaires, Modified Over Aggression Scales(MOAS),Positive and Negative Symptom Scale(PANSS), Quality of life index questionnaire(QL-Index) , family APGAR (Adaptation /Partnership/Growth/Affection/Resolve) index and Treatment Emergent Symptom Scale(TESS) for one year period. RESULT: The total number of attack, and MOAS scores for patients in study group were significantly lower than that in control group at each follow-up assessment during one year period (P<0.01). The PANSS scores in study group was lower than that in control group starting from second month of follow-up. The total hospital attendance in study group was lower than that in control group during one year period. The QL-Index, family APGAR (Adaptation /Partnership/Growth/Affection/Resolve) index in study group were higher than in control group at each follow-up assessment (p<0.01). CONCLUSION: The risk of aggressive behaviors from schizophrenics in community is quite high. Family intervention can effectively reduce the severity of aggressive behaviors in community, help patients recover and improve life quality of schizophrenics. It is worthwhile to promote the application of family intervention for schizophrenics in community.更多还原