社会功能训练对长期住院精神分裂症患者影响的效果观察  

Observation on effective outcome of social rehabilitation in the treatment of schizophrenic hospitalized long time.

作　　者：梁菊芳[1] 凌丽钰[1] 

机构地区：[1]佛山市第三人民医院,广东佛山528000

出　　处：《齐鲁护理杂志》2006年第02A期199-200,共2页Journal of Qilu Nursing

摘　　要：目的:对长期住院精神分裂症患者实施社会功能训练,以提高其住院生活质量,延缓精神衰退。方法:随机将50例患者分为研究组与对照组,在配合药物治疗的同时,对照组采用传统的护理方法,研究组给予生活技能训练、社会技能训练、健康教育及家庭干预等措施,定期对两组进行住院病人观察量表(NOSIE)、日常生活能力量表(ADL)和总体幸福感量表(GWB)评定,同步性比较研究。结果:研究组患者的日常生活自理能力、社会能力、社会兴趣等方面比对照组明显提高。两组在NOSIE、ADL总分及各因子、生活技能方面差异性显著(P<0.01),研究组患者在病程、住院时间方面比较有显著性差异(P<0.01)。结论:社会功能训练可提高患者的生活质量和满意度,延缓精神衰退。Objective ： To increase the quality of life in the hospital and delay mental deterioration of schizophrenic hospitalized long time through conducting social rehabilitation. Methods： 50 schizophrenic were randomly divided into study group and control group. The routine nursing care was given under the medication in the control group, while the extra training was given in viability, skill in social activity and health education and family intervention as well. The simultaneous comparative study was made according to the regular evaluation on NOSIE, ADL and GWB. Results ： Self-care ability in daily life, social communication skill were apparently improved in the study group. The significant difference was found in NOSIE, ADL （P 〈0.01 ） and there was also significant in the comparison of duration of disease and length of hospitalization （P 〈 0. 01 ）. Conclusion： Skill training in social activity can effectively increase the quality of life and satisfaction of patients, and delays mental deterioration.

关 键 词：社会功能训练 精神分裂症 影响 

分 类 号：R473.74[医药卫生—护理学]