农疗用于慢性精神分裂症住院患者康复中的效果研究
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摘要
目的:探讨慢性精神分裂症住院患者实施农疗对其康复效果的影响。方法:选取2017年1月-2018年1月本院收治的慢性精神分裂症患者60例。按照随机数字表法将其分为药物组(n=30)、干预组(n=30)。药物组实施常规抗精神病药物治疗,干预组在药物组基础上另实施农疗。比较两组治疗前后的精神分裂症症状(PANSS评分)、康复疗效(NOSIE评分)、个人和社会功能(PSP评分)变化情况。结果:治疗24周后,干预组阳性症状、阴性症状、一般症状及PANSS总分分别为(8.1±2.5)、(15.1±3.6)、(25.1±3.1)、(49.9±3.2)分,均明显低于药物组的(13.1±2.6)、(21.5±3.2)、(27.2±2.5)、(62.5±3.8)分,比较差异均有统计学意义(t=10.533、10.954、4.601、18.161,P=0.000、0.000、0.000、0.000);治疗24周后,干预组NOSIE、PSP评分分别为(156.3±12.3)、(66.8±10.2)分,均明显高于药物组的(134.2±11.8)、(50.2±8.4)分,比较差异均有统计学意义(t=10.258、8.914,P=0.000、0.000)。结论:对住院慢性精神分裂症患者实施农疗不仅可改善患者症状,提升患者康复疗效,还可提升个人和社会功能,促进患者早日回归社会,值得推广运用。
Objective:To explore the effect of agrotherapy on rehabilitation of hospitalized patients with chronic schizophrenia.Method:A total of 60 patients with chronic schizophrenia in our hospital from January 2017 to January 2018 were selected.According to the random number table method,they were divided into drug group(n=30)and intervention group(n=30).The drug group was treated with conventional antipsychotic drugs,and intervention group was additionally treated with agrotherapy therapy on the basis of drug group.The symptoms of schizophrenia(PANSS score),rehabilitation effect(NOSIE score),personal and social function(PSP score) before and after treatment between the two groups were compared.Result:After 24 weeks of treatment,the positive symptoms,negative symptoms,general symptoms,and PANSS total scores of intervention group were(8.1±2.5),(15.1±3.6),(25.1±3.1),(49.9±3.2) points respectively,which were significantly lower than(13.1±2.6),(21.5±3.2),(27.2±2.5),(62.5±3.8) points,the differences were statistically significant(t=10.533,10.954,4.601,18.161,P=0.000,0.000,0.000,0.000).After 24 weeks of treatment,the scores of NOSIE and PSP in intervention group were(156.3±12.3) and(66.8±10.2) points respectively,which were significantly higher than(134.2±11.8) and(50.2±8.4) points in drug group,the differences were statistically significant(t=10.258,8.914,P=0.000,0.000).Conclusion:Agrotherapy for hospitalized patients with chronic schizophrenia can not only improve the symptoms of patients,improve the rehabilitation effect of patients,but also enhance personal and social functions,promote the early return of patients to society,and is worth popularizing.
Objective:To explore the effect of agrotherapy on rehabilitation of hospitalized patients with chronic schizophrenia.Method:A total of 60 patients with chronic schizophrenia in our hospital from January 2017 to January 2018 were selected.According to the random number table method,they were divided into drug group(n=30)and intervention group(n=30).The drug group was treated with conventional antipsychotic drugs,and intervention group was additionally treated with agrotherapy therapy on the basis of drug group.The symptoms of schizophrenia(PANSS score),rehabilitation effect(NOSIE score),personal and social function(PSP score) before and after treatment between the two groups were compared.Result:After 24 weeks of treatment,the positive symptoms,negative symptoms,general symptoms,and PANSS total scores of intervention group were(8.1±2.5),(15.1±3.6),(25.1±3.1),(49.9±3.2) points respectively,which were significantly lower than(13.1±2.6),(21.5±3.2),(27.2±2.5),(62.5±3.8) points,the differences were statistically significant(t=10.533,10.954,4.601,18.161,P=0.000,0.000,0.000,0.000).After 24 weeks of treatment,the scores of NOSIE and PSP in intervention group were(156.3±12.3) and(66.8±10.2) points respectively,which were significantly higher than(134.2±11.8) and(50.2±8.4) points in drug group,the differences were statistically significant(t=10.258,8.914,P=0.000,0.000).Conclusion:Agrotherapy for hospitalized patients with chronic schizophrenia can not only improve the symptoms of patients,improve the rehabilitation effect of patients,but also enhance personal and social functions,promote the early return of patients to society,and is worth popularizing.
引文
[1]何有才,朱辉武,王皎华.农疗对精神分裂症慢性期住院患者康复的作用[J].护理与康复,2014,13(9):854-856.
[2]顾秀凤.农疗对住院慢性精神分裂症患者的康复影响[J].上海医药,2016,37(12):61-62.
[3]李日照,王学林,孟劲标,等.协助式农疗对慢性精神分裂症患者康复的影响[J].广州医药,2015,45(5):47-50.
[4]刘建明,何东东,汤景文,等.系统化农疗对慢性精神分裂症患者康复的影响[J].临床心身疾病杂志,2014,20(3):41-42,52.
[5]李朝晖,王江,蔡广超.高频重复经颅磁刺激治疗慢性精神分裂症阴性症状的疗效及安全性分析[J].河北医药,2017,39(15):2326-2328.
[6]刘翠霞,黎丽燕,唐秋碧.利伯曼康复训练程式对慢性精神分裂症患者用药态度和生活质量影响的分析[J].国际医药卫生导报,2017,23(11):1729-1732.
[7]安孝群,陈圣祺,肖艳红,等.系列康复治疗对住院慢性精神分裂症患者个人和社会功能疗效[J].临床精神医学杂志,2015,25(2):89-92.
[8]Einarson T R,Bereza B G,Llinares I G,et al.Cost-effectiveness of 3-month paliperidone treatment for chronic schizophrenia in Spain[J].J Med Econ,2017,20(10):1039-1047.
[9]熊旻,蔡广超.阿立哌唑与利培酮治疗精神分裂症的疗效及对血清催乳素的影响研究[J].实用临床医药杂志,2015,19(17):126-127.
[10]陈铁军.单纯药物治疗与药物联合康复性心理治疗精神分裂症效果对比分析[J].中外医学研究,2016,14(9):53-54.
[11]Linke M,Jankowski K S,Wichniak A,et al.Effects of cognitive remediation therapy versus other interventions on cognitive functioning in schizophrenia inpatients[J].Neuropsychol Rehabil,2017(2):1-12.
[12]Tan S,Zou Y,Wykes T,et al.Group cognitive remediation therapy for chronic schizophrenia:A randomized controlled trial[J].Neurosci Lett,2016,626:106-111.
[13]赵晶媛,黄光彪,顾小静,等.4种第二代抗精神病药物治疗精神分裂症急性期的临床观察[J].中国药房,2016,27(20):2790-2794.
[14]Chen X,Hong Y,Zheng P.Efficacy and safety of extract of Ginkgo biloba as an adjunct therapy in chronic schizophrenia:A systematic review of randomized,double-blind,placebocontrolled studies with meta-analysis[J].Psychiatry Res,2015,228(1):121-127.
[15]Lan C C,Liu C C,Chen Y S.Acute exacerbation of psychiatric symptoms during influenza treatment with oseltamivir in chronic schizophrenia[J].J Chin Med Assoc,2015,78(6):374-376.
[16]郝军锋,王美,刘联琦.多专业团队介入农疗训练对慢性精神分裂症患者康复疗效的影响[J].中国医药科学,2014,4(10):43-45.
[17]吕爽.精神分裂症合并2型糖尿病临床特征及农疗对患者康复的影响[J].临床心身疾病杂志,2016,22(1):43-47.
[18]卢惠鹏,马沛珍,曹民佑.基于农疗成果分享的精神分裂症患者家庭功能康复技术干预研究[J].临床心身疾病杂志,2016,22(5):104-106,144.
[19]殷瑞玲.农疗对慢性精神分裂症住院患者的康复作用[J].中国伤残医学,2015,23(10):147-148.
[20]张士巧,崔卫东,赵幸福,等.“小组式”农疗改善男性慢性精神分裂症患者社会功能的对照研究[J].中国健康心理学杂志,2015,22(7):967-970.
[2]顾秀凤.农疗对住院慢性精神分裂症患者的康复影响[J].上海医药,2016,37(12):61-62.
[3]李日照,王学林,孟劲标,等.协助式农疗对慢性精神分裂症患者康复的影响[J].广州医药,2015,45(5):47-50.
[4]刘建明,何东东,汤景文,等.系统化农疗对慢性精神分裂症患者康复的影响[J].临床心身疾病杂志,2014,20(3):41-42,52.
[5]李朝晖,王江,蔡广超.高频重复经颅磁刺激治疗慢性精神分裂症阴性症状的疗效及安全性分析[J].河北医药,2017,39(15):2326-2328.
[6]刘翠霞,黎丽燕,唐秋碧.利伯曼康复训练程式对慢性精神分裂症患者用药态度和生活质量影响的分析[J].国际医药卫生导报,2017,23(11):1729-1732.
[7]安孝群,陈圣祺,肖艳红,等.系列康复治疗对住院慢性精神分裂症患者个人和社会功能疗效[J].临床精神医学杂志,2015,25(2):89-92.
[8]Einarson T R,Bereza B G,Llinares I G,et al.Cost-effectiveness of 3-month paliperidone treatment for chronic schizophrenia in Spain[J].J Med Econ,2017,20(10):1039-1047.
[9]熊旻,蔡广超.阿立哌唑与利培酮治疗精神分裂症的疗效及对血清催乳素的影响研究[J].实用临床医药杂志,2015,19(17):126-127.
[10]陈铁军.单纯药物治疗与药物联合康复性心理治疗精神分裂症效果对比分析[J].中外医学研究,2016,14(9):53-54.
[11]Linke M,Jankowski K S,Wichniak A,et al.Effects of cognitive remediation therapy versus other interventions on cognitive functioning in schizophrenia inpatients[J].Neuropsychol Rehabil,2017(2):1-12.
[12]Tan S,Zou Y,Wykes T,et al.Group cognitive remediation therapy for chronic schizophrenia:A randomized controlled trial[J].Neurosci Lett,2016,626:106-111.
[13]赵晶媛,黄光彪,顾小静,等.4种第二代抗精神病药物治疗精神分裂症急性期的临床观察[J].中国药房,2016,27(20):2790-2794.
[14]Chen X,Hong Y,Zheng P.Efficacy and safety of extract of Ginkgo biloba as an adjunct therapy in chronic schizophrenia:A systematic review of randomized,double-blind,placebocontrolled studies with meta-analysis[J].Psychiatry Res,2015,228(1):121-127.
[15]Lan C C,Liu C C,Chen Y S.Acute exacerbation of psychiatric symptoms during influenza treatment with oseltamivir in chronic schizophrenia[J].J Chin Med Assoc,2015,78(6):374-376.
[16]郝军锋,王美,刘联琦.多专业团队介入农疗训练对慢性精神分裂症患者康复疗效的影响[J].中国医药科学,2014,4(10):43-45.
[17]吕爽.精神分裂症合并2型糖尿病临床特征及农疗对患者康复的影响[J].临床心身疾病杂志,2016,22(1):43-47.
[18]卢惠鹏,马沛珍,曹民佑.基于农疗成果分享的精神分裂症患者家庭功能康复技术干预研究[J].临床心身疾病杂志,2016,22(5):104-106,144.
[19]殷瑞玲.农疗对慢性精神分裂症住院患者的康复作用[J].中国伤残医学,2015,23(10):147-148.
[20]张士巧,崔卫东,赵幸福,等.“小组式”农疗改善男性慢性精神分裂症患者社会功能的对照研究[J].中国健康心理学杂志,2015,22(7):967-970.