早期介入與個案管理對思覺失調症患者之潛在益處

Abstract

背景介紹:思覺失調症為世界上各國不管在經濟，或是社會上財政支出與醫療負擔沉重的疾病之一，且目前尚無一個治癒的方式的重大精神疾病，病人會經歷認知功能缺損，深受正性、負性症狀之苦，進而影響社交、學業、工作功能，成為家庭與社會負擔。本研究目的在檢視藉由早期介入與個案管理，是否能有效改善病人的認知功能與症狀。

研究方法:本研究招募151位受試者，取了124位的資料，進行認知功能、電腦測驗、威斯康辛卡片分類測驗、魏氏記憶量表、活性與負性症狀的評估。

結果與結論:在電腦測驗的表現上，在試驗的第二年，受試者展現更積極回應刺激；在心智測驗中，第二年有早期介入處置與個案管理，其表現也較第一年進步：在正性與負性狀評估當中，其分數在第二年也大幅下降，顯示受試者降低了受症狀干擾之苦。

Introduction: Previous research into patients with schizophrenia shows that they suffer from cognitive impairments which lead to social, academic and vocational dysfunction. As a result, they require long-term treatment which can cause an economic burden. In this thesis we will examine whether it is beneficial to provide early intervention and case management for patients with schizophrenia.

Method: We recruited 151 subjects but only retrieved data from 124 of them. We assessed cognitive function through CPT, WCST, and memory tests. We also assessed positive and negative symptoms using the PANSS assessment tool.

Result and Conclusion: We found that the subjects became more proactive by answering stimuli in the CPT and that scores for cognitive function and positive and negative symptoms improved in the second year. As a result, we believe that providing early intervention and case management can bring positive influences on Schizophrenia patients.