情景模拟训练对长期住院慢性精神分裂症患者社会功能康复的干预效果评价  

Effect of situational analogue training on social function rehabilitation in long-term hospitalized patients with chronic schizophrenia

作　　者：黄海晓 林飞飞 丁万涛 林翠绿 徐大利 张丽君 吴秀玲 金婷婷 HUANG Hai-xiao;LIN Fei-fei;DING Wan-tao;LIN Cui-lu;XU Da-li;ZHANG Li-jun;WU Xiu-ling;JIN Ting-ting(Wenzhou Seventh People′s Hospital,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州市第七人民医院潘桥院区,浙江温州325000

出　　处：《中国预防医学杂志》2020年第9期1034-1038,共5页Chinese Preventive Medicine

基　　金：浙江省温州市科技局(Y20180554)

摘　　要：目的研究情景模拟训练对长期住院慢性精神分裂症患者社会功能康复的干预效果。方法选取温州市第七人民医院潘桥院区2017年9月~2018年7月112例长期住院慢性精神分裂症患者,按随机表法分组,选取合格病例90例,其中对照组45例,试验组45例。两组患者均进行常规抗精神病药物治疗、护理及工娱疗法,试验组在此基础上实施情景模拟训练。观察并比较两组患者的阴性症状量表(SANS)、Morning Side康复状态量表(MRSS)、精神症状评定量表(NOSIE)评分情况。结果入组前,两组SANS、MRSS、NOSIE评分比较,差异无统计学意义(P>0.05)。入组后3个月、6个月及结束训练后2个月,两组SANS、MRSS、NOSIE评分与同组入组前比较均显著改善,入组后6个月及结束训练后2个月试验组SANS、MRSS、NOSIE评分改善情况均优于对照组,差异有统计学意义(P均<0.05)。结论情景模拟训练应用于长期住院慢性精神分裂症患者,能够帮助患者缓解精神衰退、改善社会功能,对其社会功能康复具有积极的干预效果。Objective To discuss the effect of situational analogue training on social function rehabilitation in long-term hospitalized patients with chronic schizophrenia.Methods A total of 90 long-term hospitalized patients with schizophrenia in our hospital from September 2017 to July 2018 were enrolled and evenly divided into groups.All study subjects were given routine antipsychotic medication,psychiatric care and recreational therapy,while those in the observation group also received situational analogue training.The scores of negative symptom scale(SANS),the morning side rehabilitation status scale(MRSS)and the psychiatric symptom rating scale-nursing inpatient observation scale(NOSIE)were compared between the two groups.Results Before intervention,the SANS,MRSS and NOSIE scores were similar between the two groups(P>0.05).After the intervention,the scores of SANS,MRSS and NOSIE in both groups increased at 3 months,6 months post intervention and 2 months after the end of training,the scores were higher in the observation group than that in the control group at 6 months post intervention and 2 months after the end of training,the differences were statistically significant(P<0.05).Conclusions The application of situational analogue training in long-term hospitalized patients with chronic schizophrenia may slow down patients′mental decline and improve their social function.

关 键 词：精神分裂症 社会功能 康复 情景模拟训练 阴性症状量表 Morning Side康复状态量表 精神症状评定量表-护士用住院病人观察量表 

分 类 号：R473.74[医药卫生—护理学]