摘要
目的探讨"医院-社区-家庭"一体化精神康复模式对精神分裂症患者生存质量的影响。方法选择于2011年在四川大学华西医院心理卫生中心出院后自愿参加康复的精神分裂症患者101例,随机分为两组。试验组52例在院内康复基础上进行"医院-社区-家庭"一体化系统康复,对照组49例采用院内康复,观察并记录两组患者的生存质量总分、心理社会维度、动力和精力维度得分、精神残疾与社会功能得分和家庭社会关怀指数,然后采用SPSS 17.0软件包进行统计分析。结果治疗3个月和6个月后,试验组患者的生存质量总分、心理社会维度、动力和精力维度得分均明显低于对照组(P<0.05);治疗6个月后,试验组患者的精神残疾与社会功能得分均明显低于对照组(P<0.05),但家庭社会关怀指数得分明显高于对照组(P<0.05)。WHO-DSAⅡ与SQLS得分呈正相关,APGAR得分与SQLS得分呈负相关(P<0.05)。结论 "医院-社区-家庭"一体化精神康复模式能有效改善精神分裂症患者的生存质量,对其康复具有积极促进作用。
Objective To explor the influence of the hospital-community-family mental rehabilitation mode on the quality of life of patients with schizophrenia. Methods We selected 101 patients diagnosed as schizophrenia according to ICD-10, who were hospitalized in mental health center of the West China Hospital and took part in rehabilitation vol- untarily after discharge. Those patients were randomly assigned to two groups. Hospital-community-family mental reha- bilitation mode intervention was applied to the patients based on inpatient rehabilitation in the trial group （n=52）, while inpatient rehabilitation alone was applied in the control group （n=49）. The total score of quality of life, psycho-social dimension, motivation and energy dimension, score of mental disability and social function, and family social care index were recorded. Then, statistical analysis was performed using SPSS 17.0 software. Results After 3 months and 6 months, the trial group had lower scores of the total score of quality of life, psycho-social domain, and motive and energy dimen- sion than those of the control group （P〈0.05）. After 6 months, the trial group had lower scores of mental disability and so- cial function （P〈0.05） but a higher score of family social care index （P〈0.05）. The scores of WHO-DSA I1 and SQLS were positively correlated, while the scores of APGAR and SQLS were negatively correlated. Conclusion The integral mode of hospital-community-family mental rehabilitation effectively improves the quality of life of patients with schizophrenia, which also positively improves patients＇ rehabilitation.
出处
《中国循证医学杂志》
CSCD
2013年第10期1176-1179,共4页
Chinese Journal of Evidence-based Medicine
基金
成都市科技支撑项目"精神分裂症城市社区康复与生活质量研究"(编号:11PPYB055SF-027)
关键词
精神分裂症
医院-社区-家庭
精神康复
生存质量
Schizophrenia
Hospital-community-family
Mental rehabilitation
Quality of life
