职业技能训练对康复期精神分裂症患者阴性症状及认知功能的影响

Effect of Vocational Skills Training on Negative Symptoms and Cognitive Function of Patients with Schizophrenia in Rehabilitative Period

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(4)
作者
作者单位

东莞市精神卫生中心精神科 ;
东莞市第三人民医院临床心理科 ;
东莞市精神卫生中心统计室 ;

摘要
摘要:目的:探讨职业技能训练对康复期精神分裂症患者阴性症状及认知功能的影响。方法:将86例康复期精神分裂症患者采用随机数字表法分为观察组和对照组各43例,对照组给予常规药物治疗及护理,观察组联合职业技能训练,随访12周,比较两组阳性阴性症状量表(PANSS)、韦氏成人智量表(WAIS-RC)、威斯康星分类检测卡片(WCST)等指标。结果:两组实际完成随访各40例。观察组阴性量表、一般病理症状、PANSS总分均明显低于对照组(P<0.05);WAIS-RC数字符号、数字广度、视觉深度、以及WCST完成分类数、正确应答数、概念化水平百分数、持续应答数均明显高于对照组,持续性错误数明显低于对照组(P<0.05)。结论:职业技能训练有助于缓解康复期精神分裂症患者阴性症状,改善认知功能。
Abstract
Abstract: Objective: To investigate the effect of vocational skills training on negative symptoms and cognitive function of patients with schizophrenia in rehabilitative period. Methods: A total of 86 cases of patients with schizophrenia in rehabilitative period were divided into observation group and control group using random number table method, with 43 cases in each group. Patients in control group were performed routine drug treatment and nursing, and based on this, patients in observation group were performed vocational skills training. After follow-up visit of 12 weeks, the positive and negative symptoms scale (PANSS), Wechsler adult intelligence scale (WAIS-RC), Wisconsin card sorting test (WCST) and other indicators of patients in the two groups were compared. Results: 40 cases in each of the two groups completed the follow-up visit. The scores of negative symptoms scale, general pathological symptoms and PANSS in observation group were significantly lower than in control group (P<0.05); the number of WAIS-RC digit symbols, digit span, vision depth, number of WCST completed categories, number of correct responses, percentage of conceptual level and sustained responses were significantly larger than those in control group, the persistent error number was significantly lower than in control group (P<0.05). Conclusion: Vocational skills training can help to relieve the negative symptoms of patients with schizophrenia in rehabilitation period and improve their cognitive function.
关键词
关键词:精神分裂症;康复期;职业技能训练;阴性症状;认知功能
KeyWord
Key words: Schizophrenia; rehabilitation period; vocational skills training; negative symptoms; cognitive function
基金项目
页码 618-621
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张少霞*,胡庆菊,阮燕山,夏韵妍,莫燕青,谢益潮. 职业技能训练对康复期精神分裂症患者阴性症状及认知功能的影响 [J]. 国际精神病学杂志. 2018; 45; (4). 618 - 621.

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