目的：：探讨住院治疗20年精神分裂症患者坚持长期的康复干预,对患者病情及生活能力的影响。方法：采用工娱治疗、督促生活自理能力、训练生活技能、定期做心理辅导、了解自身病情,对52例住院患者进行持续康复干预,作为对照组；对另外50例不同病区长期住院精神分裂症患者仅进行药物干预和工娱治疗,作为研究组；采用简明精神病量表(BPRS)及日常生活能力量表(ADL),对两组患者在基线及干预后第10年,第20年进行评定。结果：干预后两组患者间 BPRS 分值比较,研究组患者的缺乏活力、焦虑抑郁、敌对猜疑、BPRS 总分及ADL 量表评分,显著低于对照组(P<0.05,P<0.01)。结论：持续康复干预,对精神分裂症患者病情的稳定和生活能力影响显著。%Objective: To discuss effects of continued rehabilitation intervention on conditions and viability in schizophrenic patients with 20 years' hospital treatment. Methods: The recreation therapy and drug intervention were used for all the 102 schizo-phrenic patients. We supervised 52 of the 102 patients with self-care ability, training the life skills and doing psychological counseling on a regular basis to understand his condition, who were used as control group. The other 50 patients were selected as control group. We assessed the conditions and viability with brief psychiatric rating scale (BPRS) and activity of daily living scale (ADL) in 10th year and 20th year. Results: The patients in study group lacked vitality and had anxiety-depression and hostile suspicion, and whose ADL and BPRS scores were significantly lower than those of control group (P<0. 05, P<0. 01). Conclusions: The continued rehabili-tation intervention can significantly affect the schizophrenic patients`s conditions and viability.
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