摘要
目的 研究〈社区精神病人诊断与公共安全风险评估软件〉（简称CSPP-DSRE）医学指导功能对自知力的疗效.方法 云南省精神病医院就诊或昆明市丰宁社区在册管理的精神分裂症患者92例.患者进行CSPP-DSRE测试诊断后,软件对相应精神问题进行呈现与初步诊断,然后运用软件精神医学指导功能进行相应问题系统学习和精神科专业人员认知辅导,用自制的自知力评估量表评估,对本软件使用前后进行自知力测试,评估软件干预效果.结果 ①自知力评估量表,对10例患者做一致性检验,Kappa值在0.76～0.94之间（P＜0.05）;②对患者自知力相关指标改善突出.干预前后依从住院（1.32±0.591）分 vs （2.94±0.821）分（P＜0.01）;精神症状（2.14±0.96）分 vs （4.43±1.99）分（P＜0.01）;社会参与功能（3.22±1.45）分 vs （4.54±1.24）分（P＜0.01）;日常生活自理能力（2.37±1.07）分 vs （3.17±1.03） 分（P＜0.01）;精神病态诊断（2.15±0.97）分 vs （3.14±1.21）分（P＜0.01）;3个月规范治疗（1.81±0.81）分 vs （3.47±0.96）分（P＜0.01）;主动求助（2.11±0.95）分 vs （3.51±0.88）分（P＜0.01）;坚持医院复查（2.29±1.03）分 vs （3.31±1.19）分（P＜0.01）;总体水平（2.15±0.97）分 vs （3.44±0.95）分（P＜0.01）.结论 运用CSPP-DSRE中的指导功能,对精神分裂症的自知力能够起到一定作用,可以辅助用于精神病患者的认知治疗,提高规划治疗的依从性.
Objective To investigate the treatment effects of the psychiatric instructional function of the Software on the Diagnosis and Public Safety Risks Evaluation of Psychiatric Patients in Community（CSPP-DSRE）on Patients＇ insight.Methods The study involved 92 mental disorders patients as research subjects from Yunnan Kunming Fengning Psychiatric Hospital or community management of mental illness in the book,or ones who met CCMD-3 with mental disorders.After diagnosis by CSPP-DSRE,the patients were evaluated in respective psychiatric questions and initial diagnosis for software＇s psychiatric instructional function wholly and then the psychiatric specialists made the cognitive coaching to the patients with software,finally the specialists made the evaluation on the software＇s interventional treatment effect by the insight indicators improved patients prominently. Before and after the intervention,the compliance hospitalization was （1.32±0.591） scores vs （2.94±0.821） scores（P〈0.01）;psychiatric symptoms were （2.14±0.96） scores vs （4.43±1.99） scores（P〈0.01）,social participation features were （3.22±1.45） scores vs （4.54±1.24） scores（P〈0.01）;ADL was （2.37±1.07） scores vs （3.17±1.03） scores（P〈0.01）;psychopathy diagnosis was （2.15±0.97） scores vs （3.14±1.21） scores（P〈0.01）;3-month standard treatment was （1.81±0.81） scores vs （3.47±0.96） scores（P〈0.01）;the initiative to seek help was （2.11±0.95） scores vs （3.51±0.88） scores（P〈0.01）;adherence to the hospital review was （2.29±1.03） scores vs （3.31±1.19） scores（P〈0.01）;the overall level was （2.15±0.97） scores vs （3.44±0.95） scores（P〈0.01）.Conclusion The use of CSPP DSRE self-knowledge of the schizophrenia plays a role,helps the cognitive therapy for psychiatric patients,and improves the planning of treatment adherence.
出处
《临床荟萃》
CAS
2014年第3期308-310,共3页
Clinical Focus
关键词
精神障碍
自知力
干预性研究
结果评价
mental disorders
insight
intervention studies
outcome assessment
