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赵晶媛,张红星,郭素芹,吕路线.社会心理综合干预对精神分裂症患者康复的影响[J].中国康复医学杂志,2009,24(5):448~450
社会心理综合干预对精神分裂症患者康复的影响    点此下载全文
赵晶媛  张红星  郭素芹  吕路线
新乡医学院第二附属医院,河南,453002
基金项目:河南省医学科技攻关计划:精神分裂症治疗优化及5年结局评估(200703078),精神分裂症一体化治疗模式的探索研究(200694)
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摘要:
      目的:探讨社会心理综合干预对精神分裂症患者社会功能、生存质量的影响。方法:120例精神分裂症患者随机进入单纯组和综合组,单纯组药物治疗,每月电话随访,综合组药物治疗同时每月集中进行社会心理综合干预。于入组时、入组后第3个月、第6个月分别进行社会功能缺陷筛选量表(SDSS)、阳性和阴性症状量表(PANSS)、自知力与治疗态度问卷(ITAQ)评定。结果:第6个月时综合组PANSS量表总分显著低于单纯组(P<0.01),阴性症状分和一般病理分均显著低于单纯组(P<0.05)。综合组在第3个月、第6个月SDSS分
关键词:精神分裂症  社会心理干预  生存质量
The influence of social-psychology comprehensive intervention on schizophrenia rehabilitation    Download Fulltext
The Second Affiliated Hospital, Xinxiang Medical College, Xinxiang Henan, 453002
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Abstract:
      Objective: To explore the influence of social-psychology comprehensive intervention on social function and quality of life of schizophrenia patients. Method: One hundred and twenty patients were randomly divided into simple medicine group and social-psychology comprehensive intervention group. Both groups were treated with psychiatric medicine. The simple medicine group was followed up by phone call once every month, The comprehensive intervention group was intervened additionally by social-psychology intervention collectively once every month. Positive and negative syndrome scale(PANSS), social disability screening schedule(SDSS) and insight and treatment attitude questionnaire(ITAQ) were used in assessment at baseline, the 3rd month,6th month after treatment. Result: Based on the 6th month follow-up, the social-psychology comprehensive intervention group showed significant reduction of scoreses of PANSS-general scale(P<0.01), PANSS-negtive symptom and PANSS-thought disorder(P<0.05). Based on the 3rd month and 6th month follow-up, compared with simple medicine group significant reduction of scores of SDSS was showed in social-psychology comprehensive intervention group (P<0.01). Based on the 6th month follow-up, compared with simple medicine group significant increase of scores of ITAQ was showed in social-psychology comprehensive intervention group(P<0.01). Conclusion: Social-psychology comprehensive intervention could improve negtive psychosis sympotoms and quality of life of schizophrenia patients.
Keywords:schizophrenia  social psychology intervention  quality of life
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