社区日间康复训练对慢性精神分裂症患者的康复效果评价

发布时间：2018-06-29 04:22

本文选题：精神分裂症 + 日间康复训练　；参考：《中国全科医学》2014年19期

【摘要】：目的评价社区日间康复训练对慢性精神分裂症患者的康复疗效。方法 2012年8月,采用随机、对照、开放性的临床试验设计,入选精神分裂症患者80例,随机分为两组,即干预组40例和对照组40例。干预组患者接受社区日间康复训练6个月,对照组患者接受常规随访治疗。采用阳性与阴性症状量表(PANSS)、Morningside康复状态量表(MRSS)、自知力与治疗态度问卷(ITAQ)进行评分,比较两组患者干预前、后的康复疗效。结果实施社区日间康复训练6个月后,干预组患者的PANSS总分、阴性量表得分较对照组下降,差异有统计学意义(P0.05);MRSS总分及各因子得分均较对照组下降,差异有统计学意义(P0.05);ITAQ总分高于对照组,差异有统计学意义(P0.05)。结论社区日间康复训练能改善慢性精神分裂症患者的症状、提高其自知力,促进其康复。
[Abstract]:Objective to evaluate the effect of community day rehabilitation training on patients with chronic schizophrenia. Methods in August, 2012, 80 schizophrenic patients were randomly divided into two groups: intervention group (n = 40) and control group (n = 40). The patients in the intervention group received community day rehabilitation training for 6 months, while the patients in the control group received routine follow-up treatment. The positive and negative symptom scale (PANSS) and Morningside Rehabilitation State scale (MRSS), Insight and treatment attitude questionnaire (ITAQ) were used to evaluate the rehabilitation efficacy of the two groups before and after intervention. Results after 6 months of community day rehabilitation training, the total score of PANSS and the score of negative scale in the intervention group were lower than those in the control group, and the difference was statistically significant (P0.05) the total score of MRSS and the scores of each factor were lower than those of the control group. The difference was statistically significant (P0.05), the total score of ITAQ was higher than that of the control group, and the difference was statistically significant (P0.05). Conclusion Community day rehabilitation training can improve the symptoms of patients with chronic schizophrenia, improve their insight and promote their rehabilitation.
【作者单位】：上海市浦东新区沪东社区卫生服务中心全科门诊;上海市浦东新区精神卫生中心;
【基金】：上海市浦东新区卫生系统学科带头人培养计划资助(PWRd2011-11) 上海市浦东新区卫生局级课题(PW2011C-06)
【分类号】：R749.3

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