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分级开放管理对长期住院精神分裂症患者社会功能的影响
王秀华,朱卫明,陆颖,顾文明
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摘要:
目的 探讨分级开放管理对长期住院精神分裂症患者社会功能的影响.方法 120例精神分裂症患者分为室内开放(A级)、院内开放(B级)、院外开放(C级)三组,每组40例,分别于基线时、3月末、6月末用住院精神病人社会功能评定量表(SSPI)评定精神分裂症患者的社会功能.结果 A级病人6月末、3月末SSPI总分与基线时比较差异无统计学意义(P>0.05);B、C级病人6月末、3月末SSPI总分与基线时比较差异有统计学意义(P<0.01);B级病人6月末SSPI总分与3月末比较差异有统计学意义(P<0.05),C级病人6月末SSPI总分与3月末比较差异有统计学意义(P<0.01);B、C级病人3月末、6月末SSPI总分分别与同期A级病人比较差异有统计学意义(P<0.01).结论 开放管理可以改善长期住院精神分裂症患者的社会功能,且开放程度越高,改善程度越大.
关键词:  精神分裂症  开放管理  社会功能
DOI:
基金项目:
Impact of open- management on the social functions of long- term schizophrenic inpatients
()
Abstract:
Objective To study the impact of open--management on the social functions of long-term schizophrenic inpatients. Methods A total of 120 schizophrenic inpatients were randomly chosen and divided into 3 groups equally (group A,group B,group C,40 patients each). Group A included those who had to stay in the ward; group B those who could walk around in the hospital; and group C those who were allowed to go home. All subjects were tested with SSPI to evaluate the social functions for the long--term schizophrenics at the baseline,the ends of the 3rd and the 6th months after the open--man- agement. Results In group A,there were no significant differences between the total score of SSPI at the ends of the 3rd and the 6th months from that at the baseline (P 〉 0.05) ; in group B and C,there were significant differences between the total scores of SSPI at the ends of the 3rd and the 6th months from that at the baseline (P 〈 0.01). In group B,there were significant differences on the total score of SSPI between the end of the 6th and the 3rd month (P 〈 0.05). In group C,there were significant differences on the total score of SSPI between the end of the 6th and the 3rd month (P 〈 0.01) the total scores of SSPI at the ends of the 3rd and the 6th months in both group B and C were significantly different from that in group A,respectively (P 〈 0.01). Conclusions The open--management can improve the social functions of the long--term schizophrenic inpatients. The higher the degree of the open--management is,the better the social functions will be improved.
Key words:  Schizophrenia  Open-- management  Social functions

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