目的 探讨综合康复治疗对慢性精神分裂症患者生活质量和社会功能的影响.方法 将117例病情稳定的长期住院精神分裂症患者随机分为治疗组58例及对照组59例.治疗组在药物治疗的基础上给予系统的康复治疗,对照组只给予药物治疗.康复治疗前后分别应用简明精神病评定量表(BPRS)、生活质量综合评定问卷-74(GQOLI-74)以及住院慢性精神分裂症社会功能评定量表(SSPI)综合评价患者的康复情况.结果 综合康复治疗第6个月后,治疗组BPRS评分显著低于治疗前(P<0.05),且治疗后9个月、12个月治疗组优于对照组(P<0.05);治疗组治疗后6～12个月GQOLI-74心理健康因子、社会功能因子评分、SSPI评分均高于治疗前(P<0.05),且治疗12个月时心理健康社会功能优于对照组,治疗6～12个月时SSPI评分优于对照组(P<0.05).结论 综合康复治疗能提高长期住院慢性精神分裂症患者的生活质量及社会功能.%Objective To explore the effect of comprehensive rehabilitation on the quality of life and social skills of chronic schizophrenia patients. Methods 117 patients with chronic schizophrenia were randomly divided into study group and control group. The patients in study group were given comprehensive rehabilitation besides medicine treatment, while control group were only given medicine treatment. All the patients were assessed using brief psychiatric rating scale ( BPRS ). Generic quality of life inventory 74 ( GQOLI 74 ), the scale of social skills for psychiatric in patients ( SSPI ) pre and post treatment. Results After 6 months, the BPRS scores in study group was significantly lower than that in control group and baseline( P < 0.05 ); the mental health score and social function score of GQOLI 74 in study group were significantly higher than those in control group and baseline ( P < 0. 05 ); the SSPI scores in study group was significantly higher than that in control group and baseline ( P < 0. 05 ). The social funetion score, mental health score in study group was superior to control group after 12 months treatment and the SSPI was superior to control group after 6-12 months treatment( P <0. 05 ). Conclusion Comprehensive rehabilitation can improve the quality of life and social skills in chronic schizophrenia patients.
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