【摘要】 目的探讨社区康复疗法对慢性精神分裂症患者的疗效及意义。方法将 60例慢性精神分裂症患者随机分为社区康复组 (研究组 )和住院治疗组 (对照组 ) ,每组各 3 0例 ,采用前瞻性对照研究 ,历时 1年。用简明精神病评定量表 (BPRS)、护士用住院患者观察量表 (NOSIE— 3 0 )、社会功能缺陷筛选量表 (SDSS)和复发率等进行评估。结果与入组时比较 ,在 6个月末和 1年末 ,研究组的BPRS、NOSIE、SDSS各量表总分与对照组比较 ,均有显著性差异 (P <0 .0 5—P <0 .0 0 1) ,复发率 (0 % )也低于对照组 (2 0 % )。结论社区康复疗法能有效控制慢性精神分裂症患者的病情 ,提高患者的生活质量和社会功能并可显著降低复发率 ,是实施慢性精神分裂症康复治疗的重要措施和方法更多还原

【Abstract】 ObjectiveTo explore the effect of community based rehabilitation on chronic schizophrenia. Methods60 patients of chronic schizophrenia were randomly divided into the community based rehabilitation group (the study group) and the inpatients group (the control group). The study used prospective design for 1 year with brief psychiatric rating scale (BPRS),nurses’ observation scale for inpatients evaluation (NOSIE) and social disability screening schedule (SDSS).ResultsCompared with the control group at the end of 6 month and 1 year, scores of BPRS, NOSIE and SDSS in the study group were significantly different ( P< 0.05 - P< 0.001 ). The relapse rate of the study group (0%) also lowered than that of the control group( 20%).ConclusionsCommunity based rehabilitation therapy can control the chronic schizophrenia effectively. It also promotes the life quality and social function of patients, and lowers the relapse rate significantly. It is an important rehabilitation method for chronic schizophrenia.更多还原