摘要
目的探讨天水市重性精神疾病管理治疗项目对首发精神分裂症患者的管理效果和价值。方法在实施重性精神疾病管理治疗项目的天水市、未实施重性精神疾病管理治疗项目的陇南市,分别随机抽取符合标准的精神分裂症患者各60例作为研究组和对照组,采用严重精神障碍患者随访记录服务表(包含危险行为评估内容)、阳性与阴性症状量表(PANSS)、健康状况调查问卷(SF-36)、社会功能缺陷筛选量表(SDSS)和家庭负担量表(FIS)进行相关问卷调查。结果研究组PANSS、SF-36、SDSS,FIS和危险行为评估表的分值均低于对照组(P<0.01),药物不良反应发生率两组无差异(P>0.05),再住院率、关锁率和肇事肇祸率均低于对照组(P<0.05)。研究组实验室检查率和规律用药率均高于对照组(P<0.01)。研究组与对照组患者相比,服药依从性好,患者的精神症状、生活质量和社会功能缺陷改善明显,家庭负担轻,暴力级别低,再住院、被关锁和肇事肇祸者明显低于对照组。结论重性精神疾病管理治疗项目有利于控制病情,改善患者生活质量和社会功能缺陷,降低家庭负担,控制肇事率,对维护社会的稳定具有非常重要的作用。
OBJECTVE To explore the effect and value of Tianshui serious mental illness management treatment project in Gansu Province on patients with first-episode schizophrenia. METHODS In Tianshui,where severe mental illness management treatment project was im. plemented,60 cases of schizophrenic patients were randomly selected as study group and control group in Longnan,Gansu province, and the follow-up record service table(which included the risk Behavior assessment)was used for patients with severe mental disorders. Positive and negative symptom scale(PANSS),health status questionnaire(SF-36),social function defect screening scale(SDSS)and household burden scale(FIS)were applied to conduct a related questionnaire. RESULTS PANSS,SF-36,SDSS,FIS and the risk be. havior appraisal table of the study team were lower than control group(P<0.01). The drug adverse reaction of these two groups had no dif. ference(P>0.05). The re-admission rate,locking rate and accident rate were lower than the control group(P<0.05). The laboratory in. spection rate and the rule medication rate of the study group were higher than the control grouop(P<0.01). Comparing with the control group,the study group had good compliance on taking drug,while the mental status,life quality and social function flaw improvement were obvious;family burden was light;force level was low;re-admission rate,locking rate and accident rate were obviously lower than the control group. CONCLUSION The heavy mental disease management treatment project was good for controlling disease condition, improving the life quality and the social function flaw,reducing the family responsibilities,controlling the cause troubles rate,which had very important role on maintaining the society stability.
作者
穆小梅
王秀梅
牛慧明
王小全
魏长礼
李小红
魏民
谢培亮
罗龙
MU Xiao-mei;WANG Xiu-mei;NIU Hui-ming(Tianshui No.3 Peoples Hospital,Tianshui,Gansu,741000,China)
出处
《中国初级卫生保健》
2019年第5期66-68,共3页
Chinese Primary Health Care
