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社区康复训练对慢性精神分裂症患者的效果观察
Effect of community rehabilitation training on patients with chronic schizophrenia
ES评分8
DOI | |
刊名 |
Journal of International Psychiatry
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年,卷(期) | 2017, 44(1) |
作者 |
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作者单位 |
陕西省西安市精神卫生中心精神科 ; |
摘要 |
【摘要】目的:探讨社区康复训练对慢性精神分裂症患者的效果。方法:选取我社区慢性精神分裂症患者92例,根据完全随机化原则将其分为对照组和干预组,每组各46例。其中对照组患者给予常规抗精神分裂症药物治疗,干预组在此基础上给予社区康复训练。观察比较两组患者阳性和阴性症状量表(PANSS)、自知力与治疗态度问卷(ITAQ)、社会功能缺陷筛选量表(SDSS)评分。结果:两组患者干预前PANSS、ITAQ与SDSS评分比较,差异均无统计学意义(P>0.05)。干预后,干预组PANSS阳性量表、阴性量表、一般精神病理量表评分及总分、ITAQ与SDSS评分改善情况均优于对照组;且与同组干预前比较,以上评分均明显改善,差异均具有统计学意义(P<0.05);而对照组以上评分无明显变化,差异无统计学意义(P>0.05)。结论:社区康复训练可明显改善慢性精神分裂症患者的症状,增强患者自知力和社会功能,促进其康复。
【Abstract】Objectives: To investigate the effect of community rehabilitation training on patients with chronic schizophrenia. Methods: 92 cases of chronic schizophrenia in our community were selected. According to the principle of completely randomized, all patients were divided into control group and intervention group, each group with 46 cases. Wherein the control group, patients were treated with conventional anti-schizophrenia medication, while in intervention group were received rehabilitation training on the basis of control group. The scores of Positive and Negative Syndrome Scale (PANSS), Insight and Treatment Attitude Questionnaire (ITAQ) and Social Disability Screening Schedule (SDSS) were observed and compared in the two groups. Results: Before intervention, the differences of the scores of PANSS, ITAQ and SDSS in the two groups were not statistically significant (P> 0.05). After the intervention, the scores of positive and negative scale, general psychopathology scale, total PANSS scale, ITAQ and SDSS scale in intervention group were significantly improved than those in the control group. Compared with the same group before intervention, the above scores were significantly improved, the difference were statistically significant (P <0.05). While more than the control group there was no significant change, the difference was not statistically significant (P> 0.05). Conclusion: Community rehabilitation training can significantly improve the symptoms, enhance the insight and social functions, promote their recovery on patients with chronic schizophrenia.
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关键词 |
【关键词】社区康复训练;精神分裂症;效果
【Key words】Community rehabilitation training; schizophrenia; effect
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基金项目 | |
页码 | 37-39 |