技能训练程式对易肇事肇祸精神分裂症患者疗效的随访研究  

Skills training for easy-troublemaking schizophrenic patients:a six-month follow-up study

作　　者：安孝群[1] 陈圣祺[1] 张怀惠[1] 李广智[1] 张寿宝[1] 

机构地区：[1]上海市杨浦区精神卫生中心,200090

出　　处：《上海精神医学》2009年第4期221-224,共4页Shanghai Archives of Psychiatry

基　　金：上海市杨浦区卫生局青年课题(2005AA002-2);上海市杨浦区卫生系统"名医师"建设工程

摘　　要：目的探讨技能训练程式对易肇事肇祸精神分裂症患者的疗效。方法将102例易肇事肇祸精神分裂症患者随机分为研究组51例和对照组51例。2组均接受药物治疗及康复治疗,仅对研究组进行8周的药物自我处置和症状自我监控技能训练,训练结束后对2组均进行半年的随访。使用阳性和阴性症状量表(PANSS)在干预前、干预结束时、随访第1,3,6个月时对2组患者进行评估。结果对照组治疗6月后PANSS总分比治疗前显著升高(t=-4.339,P=0.001),研究组PANSS总分的变化与治疗前比较无统计学差异。研究组复发率为5.9%,对照组为9.8%,2组比较无统计学差异(χ2=0.548,P=0.460)。结论技能训练程式对易肇事肇祸精神分裂症患者的精神症状具有短期改善作用。Objective： To explore the efficacy of skills - training for easy - troublemaking schizophrenic patients. Methods： 102 easy -troublemaking schizophrenic patients were randomly assigned into the study group and the control group. Both groups were administrated the same treatment. The skills - training courses were given to the patients of the study group for eight weeks. All the subjects were followed up to 6 months. The effect was evaluated with the Positive and Negative Syndrome Scale （PANSS） before treatment and at the 1 st, 3rd and 6th month after treatment. Results： The total score of PANSS of the control group was significantly higher than that before treatment （t = -4.339 ,P =0.001 ）. There was no significant change of the total score of PANSS of the study group before and after treatment. The relapse rates were 5 . 9 % in the study group and 9.8% in the control group with no statistical difference （X^2 = 0. 548, P = 0. 460 ）. Conclusion： The skills - training can temporarily improve the easy troublemaking schizophrenic patients＇ psychiatric symptoms.

关 键 词：精神分裂症 肇事肇祸 技能训练 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R47-4[医药卫生—临床医学]