应用药物自我处置技能训练慢性精神分裂症住院患者  

Self-management with drugs in the training of inpatients with chronic schizophrenics

作　　者：崔勇[1] 杨文英[1] 姚付新[1] 胡永东[1] 王海军[1] 

机构地区：[1]北京回龙观医院康复科,100096

出　　处：《中国临床康复》2006年第10期57-60,共4页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:分析应用药物自我处置技能训练对慢性精神分裂症住院患者社会功能和社交技能的改善作用。方法:于2000-02/2004-02将符合纳入标准的北京回龙观医院慢性精神分裂症住院患者100例,随机分为社会技能训练组(以下简称训练组,n=50)和对照组(n=50)。在抗精神病药物治疗不变的前提下,对训练组按照Liberman编写的《社会独立生活技能》训练程式进行训练,训练内容:①获得抗精神病药物治疗的知识。②了解正确的自我服用药物的方法并对其评价。③识别药物的副反应。④与健康照料者商讨药物治疗问题。每一技能部分分成7个学习活动:介绍技能;录相带和问/答;角色演练;资源管理;结果问题;现场练习;安排并分派家庭作业。每个部分的内容着重训练患者解决在实际生活中遇到的问题。共12周。期间每4周评定1次简明精神病评定量表、阴性症状量表,治疗前后各评定1次社交技能评定表、社会功能缺陷量表和进行药物处置相关知识的测验。简明精神病评定量表包含焦虑抑郁因子、缺乏活力因子、思维障碍因子、活动性因子和敌对态度因子;阴性症状量表包含情感平淡因子、思维贫乏因子、意志缺乏因子、情感缺乏因子和注意障碍因子。社交技能评定表包括目光接触、姿势/身体的运动/手势、面部表情、语音、言语的流畅性、交往中的精神状态等6个条目,按照《社会技能和独立生活技能》训练程式手册所列的评分标准,与写实录像的比较,分3级评定社交技能。结果:训练组有45例、对照组46例完成实验并进入结果分析。①训练组和对照组简明精神病评定量表的焦虑抑郁、缺乏活力、思维障碍、活动性和敌对态度因子的减分率从训练的第8或12周与对照组间差异出现显著性(P<0.05)。②训练组的阴性症状量表情感平淡、思维贫乏、意志缺乏因子分的减分率从训练�AIM： To analyze the ameliorating effect of self-management training with drugs on social functions and social skills of inpatients with chronic schizophrenics. METHODS： 100 inpatients with chronic schizophrenics in Beijing Huilongguan Hospital, who were in accordance with the accepting criteria from February 2000 to February 2004 were randomly divided into social skills training group （ training group, n=50） and control group （n=50）. On the premise of treatment with antipsychotic drugs, patients in the training group received training according to the training-course in Social Skills of Independent Living edited by Libennan and the training contents were： （1） Obtaining the knowledge of drug treatment with antipsychotics. （2） Acknowledging correct method of self-taken medicines and evaluating it. （3） Identify the side effect of drugs. （4） Discussing problems of drug treatment with healthy nurse. Each part of skills included 7 studing activities： Introduction of the skills; Recorder and question/answer; Practising of the role; Resource-admlnistration; Problems of results; Practsing on the spot; Arrangement and assignment of homework. Trainned patients for 12 weeks with contents of each part focused on the settlement of problems in practice. During the period of time, patients received one assayment every 4 weeks with brief psychiatric reacting scale （BPRS） and Scale for the Assessment of Negative Symptoms （SANS）; Evaluation on patients was conducted once before and after the treatment respectively with social-intercourse-skill scales and social disability scales, test on acknowledge related to drug disposition, were performed. BPRS including anxiety-depression factor, lacking in activity factor, thinking disturbance factor, reaction factor and hostile factor; SANS including fiat affecting factor, poor thought factor, aboulia factor, poor passion factor and attention disturbance factor. Social skill scales including touch of sight, motion/ gesture of posture/body, facial exp

关 键 词：药物 自我 精神分裂症 康复 

分 类 号：R749.3[医药卫生—神经病学与精神病学]