职业治疗对住院慢性精神分裂症患者康复效果的影响

摘要

目的：探讨职业治疗对长期住院慢性精神分裂症患者社会功能与康复效果的影响。方法将80例长期住院的慢性精神分裂症患者随机分为两组，两组均接受常规药物治疗及常规康复训练，在此基础上职业治疗组转入康复科接受职业治疗，观察6个月。采用阳性与阴性症状量表、住院精神病人社会功能评定量表、Morningside康复状态量表评定临床效果。结果治疗后职业治疗组阳性与阴性症状量表阴性症状分、Morningside康复状态量表总分显著低于对照组（P＜0．05或0．01），住院精神病人社会功能评定量表评分显著高于对照组（P＜0．01）。结论职业治疗融合传统农艺治疗能有效改善慢性精神分裂症患者的阴性症状，提高社会功能及康复效果。%Objective To explore the influence of occupational therapy on social function and rehabilitation outcome of long hospitalized chronic schizophrenics . Methods Eighty long hospitalized chronic schizophrenics were randomly divided into two groups ,both groups received routine medication and rehabilitation training ,on this basis occupa-tional therapy group was shifted into rehabilitation department to receive occupational therapy for 6 months .Clinical efficacies were assessed with the Positive and Negative Syndrome Scale (PANSS) ,Scale of Social Function in Psychosis Inpatients (SSPI) and Morningside Rehabilitation Stats Scale (MRSS) .Re-sults After treatment negative symptoms’ scores of the PANSS and total score of the MRSS were signifi-cantly lower (P<0 .05 or 0 .01) and the SSPI score was higher (P<0 .01) in occupational therapy than control group .Conclusion Occupational therapy blended with traditional farming therapy could effectively improve chronic schizophrenics’ negative symptoms ,social function and rehabilitation outcome .