标题：常熟市重性精神患者社区综合干预效果研究

      作者：张惠清，王 萍，张祥辛，张丽芳，周明生，宋静波，杨 忠
    （常熟市第三人民医院精神科，江苏 常熟 215501）

      卷次： 2013年24卷15期

      【摘要】 目的 评估常熟市重性精神患者社区综合干预效果。方法 通过比较干预前后 200名重性精
神患者的病情控制、肇事肇祸危险性、服药依从性、康复状况和社会功能情况，综合评估社区综合干预效果。
结果 社区综合干预后重性精神患者病情稳定（包括基本稳定）率由79.7%上升至94.4%，重性精神患者规律服
药率由干预前的 75.7%上升至 87.0%，进行社区综合干预后重性精神病患者肇事肇祸危险性有下降趋势，应用
Morningside康复状态量表（MRSS）、社会功能缺陷筛选量表(SDSS)对患者干预前后的康复状态和社会功能状态
分别进行测量和对比分析，结果表明干预后患者的康复情况和社会功能情况显著高于干预前的水平。结论 社
区综合干预措施对社区重性精神患者服药依从性的提高、病情的控制、肇事肇祸风险的降低以及康复状态和社
会功能的改善均有显著效果。

      【关键词】 精神病；社区防治；社会功能；干预效果

      【中图分类号】 R749.05 【文献标识码】 A 【文章编号】 1003—6350（2013）15—2236—03


Effect of community comprehensive intervention for heavy psychiatric patients in Changshu.
ZHANG Hui-qing,
WANG Ping, ZHANG Xiang-xin, ZHANG Li-fang, ZHOU Ming-sheng, SONG Jing-bo, YANG Zhong. Department of
Psychiatry, the Third People's Hospital of Changshu, Changshu 215501, Jiangsu, CHINA

【Abstract】 Objective To assess the effect of community comprehensive intervention for heavy psychiatric
patients in Changshu. Methods The effect of community comprehensive intervention before and after intervention
was comprehensively assessed through comparing the disease control, accident risk, medical compliance, rehabilita-
tion status and social functions. Results After the community comprehensive intervention, the proportion of stable
patients (including basic stable patients) rose to 94.4% from 78.0% , the rate of medical compliance rose to 87.6%
from 74.0%, the accident risk has a downward trend, the rehabilitation status and social functions analyzed by Morn-
ingside Rehabilitation Status Scale (MRSS) and Social Disability Screening Schedule (SDSS) has significantly im-
proved. Conclusion For heavy psychiatric patients, community comprehensive intervention results in a significantly
improvement in the disease control, accident risk reduction, medical compliance improvement, as well as rehabilita-
tion status and social functions.

      【Key words】 Psychiatric patients; Community prevention and cure; Social functions; Intervention effect
基金项目：常熟市卫生局资助性项目(编号：csws201116)