恢复期精神分裂症患者院内康复的临床研究
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摘要
目的探讨恢复期精神分裂症患者的院内康复效果。方法 116例恢复期精神分裂症患者,随机分为康复治疗组和常规对照组,各58例。常规对照组给予常规治疗,康复治疗组在常规治疗基础上给予康复治疗。比较两组患者的服药依从性、简明精神病评定量表(BPRS)总分及各因子得分,采用护士用住院患者观察量表(NOSIE)评定患者的治疗效果。结果康复治疗组患者的服药依从性明显优于常规对照组,差异有统计学意义(P<0.05)。治疗后康复治疗组焦虑抑郁、缺乏活力、思维障碍、激惹性得分及总分均低于常规对照组,差异有统计学意义(P<0.05)。康复治疗组患者的社会能力、社会兴趣、个人整洁、激惹、精神病性表现、退缩、抑郁评分分别为(22.65±2.47)、(27.88±6.34)、(30.49±5.65)、(9.58±2.06)、(6.34±2.37)、(7.23±2.89)、(3.76±1.27)分,均明显优于常规对照组的(15.67±2.53)、(11.03±5.46)、(12.29±3.67)、(13.47±1.36)、(8.87±2.69)、(13.79±4.21)、(5.68±1.25)分,差异有统计学意义(P<0.05)。结论对恢复期精神分裂症患者进行有效的院内康复治疗,能够改善恢复期精神分裂症患者的社会功能,明显提高恢复期精神分裂症患者的生活质量。
Objective To discuss the effect of hospital rehabilitation in patients with schizophreniaduring convalescence. Methods A total of 116 patients with schizophrenia during convalescence were randomly divided into rehabilitation group and normal control group, with 58 cases in each group. The normal control group received conventional therapy, and the rehabilitation group received rehabilitation therapy on the basis of conventional therapy. The medication compliance, brief psychiatric rating scale(BPRS) total score and each factor score were compared between the two groups, and the treatment effect of the patients was evaluated by nurses observation scale for inpatient evaluation(NOSIE). Results The rehabilitation group had obviously better medication compliance than the normal control group, and the difference was statistically significant(P<0.05). After treatment, the rehabilitation group had obviously lower anxiety and depression, lack of vitality, mental disorders, irritability scores and total scores than normal control group, and their difference was statistically significant(P<0.05). The rehabilitation group had social competence, social interest, personal cleanliness, irritability, psychotic symptoms, withdrawal and depression scores respectively as(22.65±2.47),(27.88±6.34),(30.49±5.65),(9.58±2.06),(6.34±2.37),(7.23±2.89) and(3.76±1.27) points, which were obviously better than(15.67±2.53),(11.03±5.46),(12.29±3.67),(13.47±1.36),(8.87±2.69),(13.79±4.21) and(5.68±1.25) points in the normal control group, and their difference was statistically significant(P<0.05). Conclusion Effective hospital rehabilitation for hospital rehabilitation in patients with schizophrenia during convalescence can improve the social function of patients with chronic schizophrenia, and significantly improve their quality of life.
Objective To discuss the effect of hospital rehabilitation in patients with schizophreniaduring convalescence. Methods A total of 116 patients with schizophrenia during convalescence were randomly divided into rehabilitation group and normal control group, with 58 cases in each group. The normal control group received conventional therapy, and the rehabilitation group received rehabilitation therapy on the basis of conventional therapy. The medication compliance, brief psychiatric rating scale(BPRS) total score and each factor score were compared between the two groups, and the treatment effect of the patients was evaluated by nurses observation scale for inpatient evaluation(NOSIE). Results The rehabilitation group had obviously better medication compliance than the normal control group, and the difference was statistically significant(P<0.05). After treatment, the rehabilitation group had obviously lower anxiety and depression, lack of vitality, mental disorders, irritability scores and total scores than normal control group, and their difference was statistically significant(P<0.05). The rehabilitation group had social competence, social interest, personal cleanliness, irritability, psychotic symptoms, withdrawal and depression scores respectively as(22.65±2.47),(27.88±6.34),(30.49±5.65),(9.58±2.06),(6.34±2.37),(7.23±2.89) and(3.76±1.27) points, which were obviously better than(15.67±2.53),(11.03±5.46),(12.29±3.67),(13.47±1.36),(8.87±2.69),(13.79±4.21) and(5.68±1.25) points in the normal control group, and their difference was statistically significant(P<0.05). Conclusion Effective hospital rehabilitation for hospital rehabilitation in patients with schizophrenia during convalescence can improve the social function of patients with chronic schizophrenia, and significantly improve their quality of life.
引文
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[4]徐良雄,曾德志,曹文涛,等.技能康复训练联合药物治疗对恢复期精神分裂症患者社会功能的疗效观察.四川精神卫生,2015(2):148-150.
[5]魏丽宁,赵艳茹,孟丽,等.社交技能和自信心训练对恢复期精神分裂症患者自尊水平的影响.河北医药,2014(24):3752-3754.
[6]张明园.精神科评定量表手册.长沙:湖南科学技术出版社,2001:81-94,95-102.
[7]陈海兴.综合康复治疗对精神分裂症患者认知功能的影响及1年随访研究.天津医科大学,2016.
[8]漆靖,谌红献.综合康复治疗对慢性精神分裂症认知功能影响的研究.医学美学美容旬刊,2014(6):205.
[9]弓剑.综合康复训练对慢性精神分裂症患者康复效果的作用.实用医技杂志,2013,20(5):560.
[10]王勇健,高云.音乐治疗对慢性精神分裂症患者康复效果及认知功能的影响.精神医学杂志,2014,27(6):464-466.
[2]游秋萍,侯璟,白静,等.系统康复训练对稳定期精神分裂症患者认知功能的影响.蚌埠医学院学报,2015,40(2):256-257.
[3]张婉春,韩海英,孙冉.社区康复训练和持续健康教育对慢性恢复期精神分裂症患者自我效能感影响的研究.首都医科大学学报,2014,35(4):492-495.
[4]徐良雄,曾德志,曹文涛,等.技能康复训练联合药物治疗对恢复期精神分裂症患者社会功能的疗效观察.四川精神卫生,2015(2):148-150.
[5]魏丽宁,赵艳茹,孟丽,等.社交技能和自信心训练对恢复期精神分裂症患者自尊水平的影响.河北医药,2014(24):3752-3754.
[6]张明园.精神科评定量表手册.长沙:湖南科学技术出版社,2001:81-94,95-102.
[7]陈海兴.综合康复治疗对精神分裂症患者认知功能的影响及1年随访研究.天津医科大学,2016.
[8]漆靖,谌红献.综合康复治疗对慢性精神分裂症认知功能影响的研究.医学美学美容旬刊,2014(6):205.
[9]弓剑.综合康复训练对慢性精神分裂症患者康复效果的作用.实用医技杂志,2013,20(5):560.
[10]王勇健,高云.音乐治疗对慢性精神分裂症患者康复效果及认知功能的影响.精神医学杂志,2014,27(6):464-466.