首页> 中文期刊> 《临床心身疾病杂志 》 >康复训练对慢性精神分裂症患者临床康复的影响

康复训练对慢性精神分裂症患者临床康复的影响

             

摘要

Objective To explore the influences of rehabilitation training on clini-cal rehabilitation of chronic schizophrenics .Methods Sixty chronic schizophrenics were randomly assigned to two groups of 30 ones each ,both groups received routine maintenance drug therapy and nursing inter-vention ,on that basis research group was plus purposeful rehabilitation training for 6 months .Clinical effects were assessed with the Scale for Assessments of Negative Symptom (SANS) and Nurses’ Observa-tion Scale for Inpatient Evaluation (NOSIE) before and after training .Results At the end of 6-month training the SANA score as well as agitation ,retardation and total negative factor score of the NOSIE low-ered more significantly in research group compared with pre-training and were significantly lower compared with control group (P<0 .05 or 0 .01);the score for social ability ,individual neatness ,total positive fac-tor and total assessment of patients’ condition of the NOSIE heightened more significantly compared with pre-training and those were significantly higher compared with control group (P<0 .01);control group had no notable changes ( P>0 .05) .Conclusion Rehabilitation training could notably improve negative symptoms and increase social function and quality of life for chronic schizophrenics .%目的:探讨康复训练对慢性分裂症患者临床康复的影响。方法将60例慢性分裂症患者随机分为两组,每组30例,两组均接受常规药物维持治疗和护理干预,研究组在此基础进行有计划的康复训练。观察6个月。训练前后采用阴性症状量表、护士用住院病人观察量表评定临床效果。结果康复训练6个月末,研究组阴性症状量表评分及护士用住院病人观察量表激惹、迟缓、总消极因子分均较训练前显著下降,且显著低于对照组( P<0.05或0.01);护士用住院病人观察量表社会能力、个人整洁、总积极因子、病情总估计因子分均较训练前显著升高,且显著高于对照组(P<0.01);对照组则均无显著变化(P>0.05)。结论康复训练能显著改善慢性精神分裂症患者的阴性症状,提高社会功能和生活质量。

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