精神康复治疗对精神分裂症患者社交功能影响的研究

Study on the effect of psychiatric rehabilitation therapy on social function of schizophrenia patients .

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(6)
作者
作者单位

自贡市精神卫生中心 ;

摘要
目的:探讨精神康复治疗对精神分裂症患者社交功能的影响。 方法:将240例精神分裂症患者随机分为两组,研究组120例,除了予以常规的抗精神病药物治疗外,还根据患者的康复级别,予以不同内容的精神康复治疗;对照组120例,予以常规抗精神病药物治疗;治疗周期为12个月。治疗前后和治疗过程中每季度用社交回避和苦恼量表(SAD)、康复状态量表(MRSS)、健康调查量表(SF-36)对两组患者用进行评估,最后对各项结果进行统计学分析。结果:(1)两组患者间治疗前、治疗后的SAD、MRSS、SF-36总体评分存在统计学差异,研究组患者社交功能、康复状态等改善情况明显优于对照组,(P<0.01);(2)两组患者在各自治疗前、治疗后的SAD、MRSS、SF-36总体评分显示,研究组治疗前后存在统计学差异,(P<0.01);而对照组不存在统计学差异,(P>0.05)。结论:精神康复治疗对精神分裂症患者社交功能的康复具有良好效果。
Abstract
Objective To explore the effect of psychiatric rehabilitation on social function in the schizophrenia patients. Methods 240 patients with schizophrenia were randomly divided into two groups,study group of 120 cases,in addition to conventional antipsychotic treatment,according to the level of rehabilitation of patients receiving different content of psychiatric rehabilitation;control group of 120 cases, receiving conventional antipsychotic treatment.All patients were treated for 12 months and evaluated with Distress Scale(SAD), Morningside Rehabilitation Status Scale(MRSS), the MOS item short from health survey(SF-36) before,after and every quarter of the treatment. The results were analyzed statistically. Results (1)There were significant differences in the overall scores of SAD、MRSS and SF-36 between the two groups before and after treatment,the improvement of social function and rehabilitation state of the patients in the study group was obviously better than that of the control group(P<0.01);(2)The overall scores of SAD、 MRSS and SF-36 in the two groups before and after treatment showed that there was statistical difference in the study groups (P < 0.01), but there was no statistical difference in the control group (P > 0.05) Conclusion Psychiatric rehabilitation therapy has a good effect on the rehabilitation of social function of schizophrenia patients.
关键词
精神康复治疗;精神分裂症;社交功能
KeyWord
Psychiatric rehabilitation;Schizophrenia;Social function
基金项目
页码 1017-1020
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曾媛媛*. 精神康复治疗对精神分裂症患者社交功能影响的研究 [J]. 国际精神病学杂志. 2018; 45; (6). 1017 - 1020.

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