职业康复技能训练对改善精神分裂症患者的精神症状及社会功能的效果分析

Effect of occupational rehabilitation skills training on improvement of psychiatric symptoms and social function in patients with schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(1)
作者
作者单位

广元市精神卫生中心 ;
四川省复原退伍军人医院 ;

摘要
【摘要】探讨职业康复技能训练对住院精神分裂症(SCH)患者精神症状及社会功能的改善效果。方法 将100例住院康复期SCH患者随机分为观察组与对照组,各50例。两组均予以抗精神病药物维持治疗,对照组予以常规封闭式康复治疗,观察组则予以开放式定岗职业康复治疗。比较两组治疗前、治疗3、6个月末时阳性和阴性症状量表(PANSS)及住院精神病人社会功能评定量表(SSPI)评分。结果 治疗3、6个月末,观察组PANSS量表中阳性、阴性、一般精神病理单因子评分及总评分均显著低于治疗前及对照组(P<0.05),SSPI量表中日常生活、动性和交往、社会活动技能单因子评分及总评分均显著高于治疗前及对照组(P<0.05)。结论 院内职业康复技能训练能够显著改善恢复期SCH患者的精神症状及社会会功能,促进疾病与功能状态的康复。
Abstract
【Abstract】 Objective To explore the effect of occupational rehabilitation skills training on psychiatric symptoms and social function in patients with schizophrenic(SCH). Methods 100 inpatients with SCH were randomly divided into observation group and control group,50 cases in each group.Both groups were treated with psychiatric drugs for maintenance,the control group received conventional closed rehabilitation treatment, the observation group received occupational rehabilitation skills training.The Positive and Negative Syndrome Scale (PANSS) and Social Function of Psychiat-ric inpatients Rating Scale (SSPI) scores at before treatment and 3,6 months after treatment between the two groups were compared. Results At the end of 3 and 6 months after treatment,the positive, negative, general psychopathic single factor scores and total score of the PANSS scale in observation group were significantly lower than before treatment and control group(P<0.05),while the daily life, mobility and interaction, social activity skills score and total score of the SSPI scale in observation group were significantly higher than before treatment and control group (P<0.05).Conclusion The occupational rehabilitation skills training can effectively improve the psychiatric symptoms and social function of convalescent SCH patients,it may be a new way of vocational rehabilitation in promoting the rehabilitation of disease and functional status.
关键词
【关键词】精神分裂症;职业康复;开放式管理;精神症状;社会功能
KeyWord
【Key words】 Schizophrenia; Occupational rehabilitation; Open management; Psychiatric symptoms; Social function
基金项目
页码 45-48
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杨新*,须琼英,赵桂军,胡艳,郭丽蓉,许可. 职业康复技能训练对改善精神分裂症患者的精神症状及社会功能的效果分析 [J]. 国际精神病学杂志. 2018; 45; (1). 45 - 48.

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