综合干预对大连市区免费投药精神分裂患者疗效的研究.pdf

医学前沿 2014~ 10期 综合干预对大连市区免费投药精神分裂患者疗效的研究 董 晔，谢守付，许俊亭 (大连市第七人民医院，辽宁 大连 116023) 摘【 要】目的评估综合干预方法对接受免费服药的精神分裂症患者疗效的影响。方法选取500例贫困精神分裂症患者，随机分为2个 组，每组各250．g病人，干预组的病人每月由专业医生随访发药并实施综合干预措施，对照组的病人每月在社 区集中取药。随访3年，分 析两组病人临床疗效、社会功能、幸福感指数、监护率、复发率、再住院次数及肇事肇祸情况。结果 干预组病人在疾病疗效、社会功能、 幸福感指数上显著优于对照组组(P0．05)；在年均复发次数、年均住院次数、肇事肇祸次数上均呈下降趋势，具有统计学意义。结论 综 合干预方法能提高免费服药的精神分裂症患者的疗效和幸福感，能减少复发，改善患者的社会功能。 【关键词】贫困精神分裂症；干预；免费投药 【中图分类号】R749．3 【文献标识码 】A 【文章编号】1007—4244(2014)10—372—2 A【bstract】 ObjectiveToevaluatetheefficacyoffreedistributingdrugin syntheticinterventionwaytothesehizophrenie~ Methodg Selected 500 poor schizophrenics by district and rnadomly divided them into two group~ each team has 250 patient~ The patients in intervention group got drug from professional doctors and treated by them monthly．The patients in non-intervention group got drug from Communiyt Health Center quarterly．After distributed free drug for 3 year~ all patients in wto groups were evaluated with hte CGI evaluation, SocialDisability Screening Schedule §DS General Wel1一Being Schedule (Gws)nadhten theywereassessedGuardinaship rate,relapserat,ere——hospitalization rateandrtouble- makingrate Result： Compraed wiht patients in non-nitervention rgOUl~ the rteating effectiveness, social function mad Gener~ Well—Being Index were significantly superior in intervention rgoup atthe end ofstudy P(0OS~In the relapse rate,re-hospitalization rate nad rtoublemaking times appears a dechned trend in intervention rgoup during 3 yeamConelusiort Free distributing durg in synhtetic intervention way c肌 reduce relapse rate and improve hte schizophrenics’ complianc,e feeling of happiness na d social funetior~ 【Keywords】PoorSehizophrenic,s；Treatment；FreeDrugDistribution 贫困精神分裂症病人是社会的弱势群体，他们往往因病致贫 行统计学分析。计数资料采用x2检验，计量资料采用t检验、方差 而得不到治疗 ，给社会和家庭带来潜在的危险性。大连市卫生系 分析。为检验水准。 统和民政部门于2005起开始对贫困精神分裂症患