| 姚建军,吴越,杨雀屏,周德祥,张菁,张恒,范洁,张紫娟.家庭干预对社区精神分裂症患者暴力行为的疗效及家属心理状况的影响[J].中国康复,2016,31(5):327-330 |
| 家庭干预对社区精神分裂症患者暴力行为的疗效及家属心理状况的影响 |
| Effects of family intervention on aggressive behaviors of patients with schizophrenia in community and their families psychological status |
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| DOI： |
| 中文关键词: 家庭干预 精神分裂症 暴力行为 社区 |
| 英文关键词: family intervention schizophrenia aggressive behavior community |
| 基金项目:江苏省卫生厅预防医学科研基金（Y2013010） |
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| 中文摘要: |
| 目的：探讨家庭干预对社区精神分裂症患者暴力行为的疗效及家属心理状况的影响。方法：在无锡市重性精神病管理网络中，筛选出有危险评估等级2级及以上记录的精神分裂症患者64例，随机分为研究组和对照组各32例，对照组接受社区精神卫生服务治疗，研究组在常规社区精神卫生服务的基础上联合家庭干预治疗，2组患者均随访观察1年。分别在入组前、随访1年末，采用阳性与阴性症状评定量表（PANSS）、家庭负担会谈量表（FIS）、焦虑自评量表（SAS）、抑郁自评量表（SDS）评定。并比较1年内2组患者的复发住院率、不同危险等级人数和累计暴力行为发生次数。 结果：随访1年末，2组患者2级及以上危险等级人数及暴力行为发生次数较治疗前均明显下降（P＜0.01），研究组更低于对照组（P＜0.01）。2组1年内复发率相当，研究组住院率低于对照组（P＜0.05）。随访1年末，研究组患者PANSS总分及家属FIS、SAS、SDS评分较治疗前降低（P＜0.05），且均低于对照组（P＜0.01）。结论：在社区精神卫生服务的基础上联合家庭干预能有效改善精神分裂症患者的病情，减少暴力行为的发生，同时能减轻家庭负担和提高患者家属的心理健康水平。 |
| 英文摘要: |
| Objective: To investigate the effects of family intervention on aggressive behaviors of patients with schizophrenia in community and their families psychological status. Methods: Sixty-four cases of schizophrenia whose risk assessment was level 2 and above were selected from the Major Psychiatric Management Network and randomly divided into study group (n=32) and control group (n=32). All patients were given community mental health services, and the patients in the study group were given family intervention additionally. Positive and Negative Syndrome Scale (PANSS), Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), and Family Interview Schedule (FIS) were assessed before and one year after the follow-up. The number of different risk assessment level, the frequency of aggressive behaviors, the relapse and hospitalization rate of the two groups within one year were compared. Results: By the end of 1-year intervention, the number of different risk assessment level and the frequency of aggressive behaviors were significantly declined, more significantly in the study group than in the control group (P<0.01). The hospitalization rate in the study group was lower than that in the control group (P<0.05). The scores of PANSS, SAS, SDS and FIS in the study group were significantly lower than those in the control group at one year after the intervention (P<0.01). Conclusion: Family intervention combined with community mental health services can effectively improve the clinical symptoms of patients with schizophrenia, reduce the occurrence of aggressive behaviors, and improve the psychological health of families. |
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