论文部分内容阅读
目的探讨家庭心理干预对康复期精神分裂症患者减少复发、降低社会功能缺陷及增强生活自理能力的影响。方法在临床痊愈的精神分裂症患者中,选择符合入组标准的患者80例,随机分成两组,即实验组和对照组。实验组在抗精神病药物治疗基础上,采取家庭心理干预,即前2周每周1次,3～8周每2周1次,以后每月1次到患者家中为患者提供护理服务。对照组只按医嘱服用抗精神病药物。疗效评定采用简明精神病评定量表(BPRS)、社会功能缺陷筛查表(SDSS)、日常生活能力量表(ADL),在干预前和干预后6个月、12个月各评定1次。结果实验组较对照组复发率明显降低(P<0.01),社会功能缺陷程度降低(P<0.01),生活自理能力明显提高(P<0.01)。结论家庭心理干预在药物治疗的同时,对改善患者病情、减轻症状、促进康复方面有重大意义。
Objective To explore the impact of family psychological intervention on patients with convalescent schizophrenia to reduce relapse, reduce social dysfunction and enhance their ability to take care of themselves. Methods Eighty patients with schizophrenia who were clinically cured were enrolled and divided into two groups randomly: experimental group and control group. On the basis of antipsychotic treatment, the experimental group took family psychological interventions, ie, once a week for the first two weeks, once every three weeks for three to eight weeks, and once a month for the patients to provide nursing services to patients at home. The control group only took antipsychotics as prescribed. The curative effect was assessed by BPRS, SDSS and ADL before intervention, 6 months after intervention and 12 months after intervention. Results The relapse rate of experimental group was significantly lower than that of control group (P <0.01), the degree of social dysfunction was decreased (P <0.01), and the self-care ability was significantly increased (P <0.01). Conclusion Family psychological intervention in drug treatment at the same time, to improve the patient’s condition, reduce symptoms and promote rehabilitation of great significance.