【摘要】 目的:探讨社区干预和训练对首发精神分裂症康复效果。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27例和对照组29例,进行为期1年的追踪随访,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),在入组、干预半年和1年时进行康复效果评估。结果:干预组在随访1年后的BPRS、SDSS、ITAQ评分、服药依从性、复发率和再住院率、肇事肇祸的次数均显著优于对照组(P<0.01或P<0.05)。结论:开展社区干预和训练,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 interventions on first-episode schizophrenia. Method:Patients with first-episode schizophrenia were brought into a community management and randomly divided into intervention group for 27 cases and control group for 29 cases,followed up for one year.The convalescent effects were assessed using brief psychiatric rating scale(BPRS),social disability screening schedule(SDSS) and insight treatment attitude questionnaire(ITAQ),those were performed at the admission time of before the treatment,intervented for half a year and one year. Results:The score of BPRS,SDSS and ITAQ,adherence of medicine,decrease rate of recurrence and rehospitalization and the number of troublemaking after one year of intervention group were significantly better than those of control group(P<0.01 or P<0.05). Conclusion:Through community intervention,it is an effective way to strengthen the patients with first-episode schizophrenia in community adherence of medicine,improve their social function recovery,decrease the rate of recurrence and rehospitalization,reduce the behavior of troublemaking.更多还原