摘要
目的探讨同伴支持服务对精神分裂症患者的干预作用。方法将89例精神分裂症患者随机分为干预组和对照组,均纳入重性精神疾病管理治疗项目,在药物治疗基础上,干预组接受同伴支持服务,共8周。于干预前及干预后第8周末评定患者阳性和阴性综合征量表(PANSS)、社会功能缺陷筛选量表(SDSS)、生活质量综合评定问卷(GQOLI-74)、危险评估量表。结果两组纳入重性精神疾病管理治疗项目后,经过干预危险性均较干预前降低(P<0.05);干预后第8周末干预组危险性低于对照组(P<0.05)。干预后第8周末两组PANSS、SDSS评分均较干预前降低(P<0.05),且干预组PANSS、SDSS评分低于对照组(P<0.05)。干预后第8周末两组GQOLI-74总分及躯体功能、心理功能、社会功能、物质生活状态因子分均较干预前增高(P<0.05),且干预组GQOLI-74总分及躯体功能、心理功能、社会功能因子分均高于对照组(P<0.05)。结论同伴支持服务有助于改善精神分裂症患者的临床症状和社会功能、降低危险性、提高生活质量。
Objective To explore the efficacy of peer support services for intervention in patients with schizophrenia.Methods A total of 89 patients with schizophrenia were randomly divided into intervention group treated with peer support services combined with antipsychotics and control group treated with antipsychotics only for 8 weeks of intervention. They were assessed with the Positive and Negative Syndrome Scale（ PANSS）,Social Disability Screening Scale（ SDSS）,Generic Quality of Life Inventory-74 items（ GQOLI-74） and the risk assessment questionnaire before and at the 8^th weekend of intervention. Results After brought into severe mental illness management and treatment project,the risk reduced significantly compared with that before intervention（ P〈0. 05）; and at the 8^th weekend of intervention,the risk degree in intervention group was significantly lower than that in control group（ P〈0. 05）. At the 8^th weekend of intervention,the total scores of PANSS and SDSS in two groups were all significantly lower than those before intervention（ P〈0. 05）; and the total scores of PANSS and SDSS in intervention group were all significantly lower than those in control group（ P〈0. 05）. At the 8thweekend of intervention,the total score and all factor scores of GQOLI-74 in two groups were all significantly higher than those before intervention（ P〈0. 05）; and the total score and factor scores of physical function,psychological function,social function in GQOLI-74 in intervention group were all significantly higher than those in control group（ P〈0. 05）. Conclusion It＇s effective for peer support services to improve the clinical symptoms,social function,quality of life and reduce the risk degree in the patients with schizophrenia.
出处
《精神医学杂志》
2016年第5期328-330,共3页
Journal of Psychiatry
基金
山东省医药卫生科技发展计划项目(编号:2014WS0270)
关键词
精神分裂症
同伴支持
重性精神疾病管理治疗项目
Schizophrenia
Peer support services
Severe mental illness management and treatment project
