| 杨玉清,盛嘉玲,张靖雯,高慧,邵斌元.家庭化管理模式对慢性精神分裂症患者的疗效观察[J].中国康复,2013,28(1):72-74 |
| 家庭化管理模式对慢性精神分裂症患者的疗效观察 |
| Effectiveness of family management model for patients with chronic schizophrenia |
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| DOI： |
| 中文关键词: 家庭化管理模式 住院慢性精神分裂症 社会功能 |
| 英文关键词: family management mode chronic schizophrenia inpatients social function |
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| 中文摘要: |
| 目的：探讨家庭化管理模式对住院慢性精神病患者的康复疗效。方法：2组患者均按常规使用精神科药物治疗。家庭组给予家庭化生活模式训练，对照组只开展日常康复训练，采用传统封闭式管理方式。治疗前及治疗后第3、6、12月末分别采用阳性和阴性症状量表（PANSS）、生活技能训练评估表（SST）、日常生活能力量表（ADL）进行评定。结果：治疗3个月后，家庭组PANSS评分中阴性症状、精神病理症状和总分及ADL各项评分和总分均较治疗前及对照组明显下降(均P<0.05)，且治疗6及12个月时呈持续下降趋势(均P<0.01)；家庭组PANSS评分中阳性症状评分及对照组PANSS各项评分及总分治疗后各时间点与治疗前比较差异均无统计学意义。治疗3个月后，家庭组SST评分均较治疗前及对照组治疗后明显提高(均P<0.05)，且治疗6及12个月时呈持续上升趋势(均P<0.01)；对照组治疗后各时间点与治疗前比较差异无统计学意义。结论：家庭化管理模式能有效改善慢性精神分裂症患者社会功能，提高自我管理能力，减轻衰退症状。 |
| 英文摘要: |
| Objective:To explore the rehabilitation efficacy of the family management mode in the patients with chronic schizophrenia.Methods:The routine psychiatric medication was used in the two groups.The patients in family group were trained with family life model,and those in control group were given only the daily routine rehabilitation training with the traditional closed management mode.Before and at the end of third,sixth,12th months after treatment,Positive and Negative Syndrome Scale (PANSS),Social Skills Training (SST) scale,and the ability of daily life (ADL) scale were used for assessment.Results:After treatment for 3 months,the score of the negative symptoms,spirit pathological symptoms and the total score of PANSS,and score of every factor and the total score in the ADL scale of the family group were significantly lower than pretreatment and in the control group (all P<0.05),which showed a declining trend after treatment for 6 and 12 months (all P<0.01).The score of positive symptoms in the PANSS in the family group,and the scores of every factor and total scores in the PANSS in the control group showed no statistically significant difference before and after treatment.After treatment for 3 months,the scores of SST in the family group were obviously increased as compared with pretreatment and in the control group (all P<0.05),which showed an increased trend after treatment for 6 and 12 months (all P<0.01).There was no significant difference before and 6 and 12 months after treatment in the control group.Conclusion:Family management model can effectively improve the social function,improve the self management ability,and reduce recession symptoms in the chronic schizophrenia patients. |
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