摘要
目的评估湖北省山区农村地区严重精神障碍患者家庭康复效果。方法纳入据ICD-10标准诊断的严重精神障碍患者135例,在专业人员的培训和指导下,患者家属或监护人协助患者实施家庭康复计划。采用简明精神病评定量表(BPRS)、日常生活量表(ADL)、个人和社会功能量表(PSP)评估患者的精神病性症状、日常生活活动能力和社会功能三个方面的康复效果。分别于基线和每间隔3个月时随访评估1次。结果基线时,BPRS、ADL和PSP评分分别为32.00±4.80、26.41±4.47和46.96±11.98,末次随访的BPRS、ADL和PSP评分分别为20.34±2.46、16.79±3.26和77.42±10.83。与基线相比,末次随访时的BPRS、ADL评分明显降低,PSP评分明显升高,差异均有统计学意义(P<0.001)。结论山区农村地区严重精神障碍患者家庭康复效果较好,患者精神病性症状、日常生活活动能力和社会功能明显改善。
Objective To evaluate the effect of family rehabilitation for patients with severe mental disorders in mountainous rural areas of Hubei Province.Methods 135 patients with severe mental disorders diagnosed according to ICD-10 criteria were enrolled.With the training and guidance of professionals,family members or guardians of patients assisted patients in implementing family rehabilitation programs.Concise Psychiatric Rating Scale(BPRS),Daily Life Scale(ADL)and Personal and Social Function Scale(PSP)were used to evaluate the rehabilitation effect of patients in three aspects:psychiatric symptoms,activities of daily living and social functions.Evaluation was conducted at baseline and every 3 months.Results At baseline,scores for BPRS,ADL and PSP were 32.00±4.80,26.41±4.47 and 46.96±11.98,respectively.At the last follow-up,scores for BPRS,ADL and PSP were 20.34±2.46,16.79±3.26 and 77.42±10.83,respectively.Compared with baseline data,BPRS and ADL scores were significantly lower and PSP scores were significantly higher at the last follow-up(P<0.001).Conclusion Family rehabilitation of patients with severe mental disorders in mountainous rural areas was effective,with the aspects of psychiatric symptoms,activities of daily living and social functions significantly improved.
出处
《国际精神病学杂志》
2020年第1期85-88,94,共5页
Journal Of International Psychiatry
关键词
严重精神障碍
家庭
康复
山区农村
Severe mental disorder
Family
Rehabilitation
Mountainous rural areas
作者简介
第一作者:王迎(1988.12-),男,湖北武汉人,硕士,助理研究员,研究方向:精神卫生流行病学。;通讯作者:汤世明,Email:tsm8845@163.com。
