程式训练在精神分裂症患者社区护理中的应用研究  

Application of program training in the community care of schizophrenic patient

作　　者：许玉芳[1] 蒋菊芳[1] 吴晓梅[1] 张紫娟[1] 唐红[1] 方春霞[1] 郑尧娟[1] 郭琳萍[1] 

机构地区：[1]南京医科大学附属无锡精神卫生中心,江苏无锡214151

出　　处：《中国民康医学》2008年第5期471-473,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨程式训练对社区精神分裂症患者防残,康复的作用。方法:对社区精神分裂症患者随机分成训练组和对照组各50例,在药物治疗的同时,对训练组患者进行程式训练,对照组患者予以传统的精神康复干预,对两组患者随访1年,用BPRS量表评价病人病情的严重程度,用SDSS量表评价病人的社会功能缺陷情况,并比较两组病人出院后的服药依从性,复发情况及(再)就业情况。结果:出院6个月、12个月训练组病人BPRS评分明显低于对照组,服药依从性训练组明显好于对照组,训练组的病情复发率和再住院率低于对照组,训练组的再就业率高于对照组,1年后两组间SDSS第1、5、6、9、10项及总分比较差异有显著性意义。结论:程式训练对社区精神分裂症患者维持疗效,减少复发,有效延缓社会功能缺陷,尽早重返社会有良好的促进作用。Objective：To explore the effect of program training in rehabilitation of schizophrenic patient in community care, Methods：The schizophrenic patients in community were divided into training group and control group （each group has 50 patients）, Meanwhile the drug treatment, experimental group was given specific program training to rehabilitate, and control group was taken the traditional intervention methods. After the follow up visit of whole year, the pathogenetic condition by BPRS, the social disability by SDSS the compliance, the relapse and reemployment of two groups were compared, Results： The BPRS scores, the relapse rate and reemployment rate of training group after 6 or 12 months in patient therapy were significant low than control group, The SDS $ scores and compliance situation of training group was significant better than control group, Conclusions： The application of program training in the community care of schizophrenic patient can improve the pathogenetic condition, reduce the relapse rate, postpone the social disability, and promote them to retune society finally,

关 键 词：程式训练 精神分裂症 社区护理 

分 类 号：R473.74[医药卫生—护理学]