個(gè)體康復(fù)治療對(duì)住院精神分裂癥患者康復(fù)療效的影響

周湘梅 蔣廷云

[摘要]目的 探討在病區(qū)內(nèi)對(duì)精神分裂癥患者實(shí)行個(gè)體化康復(fù)治療對(duì)患者精神癥狀、社會(huì)功能的影響。方法 將符合入組標(biāo)準(zhǔn)的96例精神分裂癥患者隨機(jī)分為對(duì)照組和個(gè)體化康復(fù)治療組(治療組),對(duì)照組進(jìn)行生活自理及文娛活動(dòng)治療,治療組在進(jìn)行與對(duì)照組相同的治療的基礎(chǔ)上,還根據(jù)患者個(gè)人特點(diǎn)分別在患者本人自愿的前提下有計(jì)劃地進(jìn)行綜合性個(gè)體康復(fù)治療。兩組患者治療前、治療6個(gè)月后分別進(jìn)行兩次陽(yáng)性和陰性癥狀量表(PANSS)及功能獨(dú)立性評(píng)定量表(FIM)評(píng)分。結(jié)果 對(duì)照組及治療組康復(fù)治療前后PANSS量表陰性癥狀分及總分下降( P < 0.05,P < 0.01)、功能獨(dú)立性評(píng)定量表(FIM)顯著提高( P < 0. 05,P < 0.01);與對(duì)照組比較,治療組治療后PANSS量表陰性癥狀分及總分下降( P < 0.05),功能獨(dú)立性評(píng)定量表(FIM)顯著提高( P < 0. 05)。結(jié)論 個(gè)體化康復(fù)治療更有助于減輕精神分裂癥患者的精神癥狀,改善社會(huì)功能。

[關(guān)鍵詞] 精神癥狀;社會(huì)功能;精神分裂癥;個(gè)體化康復(fù)

[中圖分類號(hào)] R749.3 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1004-8650(2009)06-027-02

Effectiveness of Individual Rehabilitation in the Treatment of Psychiatric Inpatients

ZHOU Xiang-mei,JIANG Ting-yun

(The Third people's Hospital of zhongshan city. Zhongshan,Guangdong,528451,China.)

[Abstract] Objective To explore the effects of Individual rehabilitation for the psychiatric symptom and function of patients in the endemic area . Methods 96 schizophrenic inpatients in recovery stage were randomly divided into the treatment group and control group with 48 cases in each group.The control group were managed with self-help training and remedial entertainment. In addition to ,individual rehabilitation were given to the treatment group designedly which was made that depending on existing problems espectively. Positive and Negative Syndrome Scale (PANSS) and Functional Independence Measure ( FIM) were evaluated and measured before and 6 months after the training. Results The scores of negative and the total score of PANSS decreased significantly(P <0.05, P <0.01) and the scores of FIM increased significantly in both treatment group and control group after treatment (P <0.05, P <0.01);Compared with controls,There was significant improvement in the treatment group(P <0.05). Conclusion Comprehensive individual rehabilitation training proves to be effective in the treatment of psychiatric symptoms and social function impairment of patients with schizophrenic inpatients.

[Key words] psychiatric symptoms;social function; schizophrenia;individual rehabilitation

精神分裂癥患者由于長(zhǎng)期住院加重了社會(huì)功能衰退和認(rèn)知功能的減退[1]。國(guó)內(nèi)多數(shù)精神病院已經(jīng)開展了一些康復(fù)治療措施,但多為簡(jiǎn)單的文娛治療,未能針對(duì)患者本人特點(diǎn)進(jìn)行系統(tǒng)康復(fù)訓(xùn)練,患者本人的主動(dòng)參與性不夠。我院于2007年開始成立獨(dú)立康復(fù)科,參考香港模式對(duì)住院精神分裂癥患者開展個(gè)體化康復(fù)治療,取得了一定的成果。本文擬在探討個(gè)體化康復(fù)治療對(duì)住院分裂癥患者康復(fù)療效的影響。

1對(duì)象與方法

1.1對(duì)象

選自中山市第三人民醫(yī)院2007年12月-2008年12月期間住院精神分裂癥患者96例,均為男性,符合《中國(guó)精神疾病分類與診斷標(biāo)準(zhǔn)》(CCMD-3)中分裂癥診斷標(biāo)準(zhǔn)與排除標(biāo)準(zhǔn)[2];病情相對(duì)平穩(wěn),個(gè)人生活能夠自理。……