马斌, 周进, 瞿正万, 卫玉康, 孙一颖. “心境-促进协作医疗”模式对精神分裂症患者生活质量和复发的影响[J]. 上海预防医学, 2015, 27(3): 142-145.
引用本文: 马斌, 周进, 瞿正万, 卫玉康, 孙一颖. “心境-促进协作医疗”模式对精神分裂症患者生活质量和复发的影响[J]. 上海预防医学, 2015, 27(3): 142-145.
MA Bin, ZHOU Jin, QU Zheng-wan, WEI Yu-kang, SUN Yi-ying. Impact of improving mood promoting access to collaborative treatment(IMPACT) approach on life quality and relapse in schizophrenics[J]. Shanghai Journal of Preventive Medicine, 2015, 27(3): 142-145.
Citation: MA Bin, ZHOU Jin, QU Zheng-wan, WEI Yu-kang, SUN Yi-ying. Impact of improving mood promoting access to collaborative treatment(IMPACT) approach on life quality and relapse in schizophrenics[J]. Shanghai Journal of Preventive Medicine, 2015, 27(3): 142-145.

“心境-促进协作医疗”模式对精神分裂症患者生活质量和复发的影响

Impact of improving mood promoting access to collaborative treatment(IMPACT) approach on life quality and relapse in schizophrenics

  • 摘要: 目的探讨"心境-促进协作医疗"(IMPACT)管理模式对社区精神分裂症患者提高生活质量,减少复发的影响。方法在上海市浦东新区精神疾病管理系统中抽取在册管理的精神分裂症患者187例,根据入选和排除标准,筛选出符合条件的患者119例,随机分为干预组60例和对照组59例。对干预组采用IMPACT模式进行为期18个月的干预,并在入组前、入组6、12、18个月后采用精神分裂症生活质量量表(SQLS)进行评分。结果干预6个月后,干预组症状/不良反应子量表得分及总分都明显低于对照组(P均<0.05);心理社会、动力/精力2个子量表得分虽低于对照组,但差异无统计学意义;动力/精力和症状/不良反应2个子量表得分与入组前比较,差异均有统计学意义(P值均<0.05)。干预12、18个月后,干预组的心理社会、动力/精力、症状/不良反应子量表得分及总分均明显低于对照组(P值均<0.05)。干预12个月后,干预组复发3例次,低于对照组的11例次,差异有统计学意义;干预18个月后,两组复发率差异亦有统计学意义。结论IMPACT模式能改善社区精神分裂症患者的生活质量,有利于预防复发。

     

    Abstract: Objective To explore the management mode of IMPACT so as to improve life quality and reduce relapse in schizophrenics. Methods Data on 187 registered schizophrenes were obtained from Regional Mental Illness Management System of Pudong New Area. According to the inclusion and exclusion criteria, 119 of them were selected and divided randomly, into intervention group of 60 patients and control group of 59 patients. The intervention group was treated with IMPACT for 18 months and scored by Schizophrenics Quality of Life Scale (SQLS) before grouping and 6-months, 12-months and 18-months after grouping.Results After 6 months of intervention treatment, the scores of SQLS in symptoms/side-effects subscale were significantly lower in intervention group than those in control group (P<0.05). Although the scores in psychosocial, dynamic/energy 2 subscales were lower as compared with those before grouping, but the difference was not statistically significant.The scores in dynamic/energy and symptoms/side-effects 2 subscales were different as compared with those before grouping(P<0.05).After 12,18 months of intervention treatment,scores in psychosocial,dynamic/energy, symtoms/side-effects subscales and total scores were markedly lower in intervention group than those in control group(P<0.05). After 12 months of intervention, there were 3 cases/times of relapse in intervention group fewer than 11 cases of relapse in control group, the difference was statistically significant. After 18 months of intervention, the differences in relapse rate were also statistically significant between the two groups.Conclusion IMPACT approach can improve life quality and prevent relapses in schizophrenics.

     

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