社会技能训练对长期住院慢性精神分裂症患者主观生活满意度的影响  

Effects of social skills training on subjective life satisfaction of long-term hospitalized patient with chronic schizophrenia

作　　者：吴建杰 朱年 段媛卿 张建萍 张佩燕 王晓珺 

机构地区：[1]山西省荣军精神康宁医院精神科,山西省太谷030800

出　　处：《中华全科医师杂志》2009年第9期624-627,共4页Chinese Journal of General Practitioners

摘　　要：目的探讨社会技能训练对长期住院慢性精神分裂症患者主观生存质量的影响。方法将在我院长期住院的82例慢性精神分裂症患者，随机分为技能训练组（40例）和对照组（42例）。训练组按顺序给予语言训练、角色训练、职业技能培训，共12个月。采用阳性与阴性症状评定量表（PANSS）、功能大体评定量表（GAS）、日常生活能力量表（ADL）、住院精神患者社会功能评定量表（SSPI）、自知力及治疗态度评定问卷（ITAQ）、精神分裂症主观生存质量评定量表（SQLS）及WHO生存质量测定量表（WHOQOL-BREF），对训练前后两组患者进行评定。结果训练后，技能训练组的PANSS总分明显低于对照组（t=0．44，P〈0．01），其中阴性症状分和一般病理症状分都显著低于对照组（t=0．64，P〈0．01；t=0．72，P〈0．01）；GAS、ADL、SSPI和ITAQ得分优于对照组（P〈0．05或P〈0．01）；SQLS评分低于对照组（P〈0．01），WHOQOL—BREF评分高于对照组（P〈0．01）。结论社会技能训练能有效改善长期住院慢性精神分裂症患者主观满意度。Objective The study was conducted to investigate the effect of social skills training on subjective life satisfaction in long-term hospitalized patients with chronic schizophrenia. Methods A total of 82 cases with chronic schizophrenia were divided into skills training group （40 cases） and control group （42 cases）. Patients in training group were offered language training, role training and vocational skills training for 12 months in total. Before and after treatment, Positive and Negative Symptom Scale （PANSS） , Global Assessment Scale （ GAS ）, Activity of Daily Living （ ADL ） Scale, Social Support Perception Inventory （SSPI）, Insight and Attitude Assessment Questionnaire （ITAQ）, Subjective Quality of Life Scale （SQLS）, as well as WHO Quality of Life Scale in Brief （WHOQOL-BREF） were used to assess the patients of two groups. Results After treatment, PANSS total score in training group was significantly lower than that in control one （ t = 0.44, P 〈 0.01 ） , and scores of the negative symptoms and general pathological symptoms were significantly lower in training group than those in control one （ t = 0. 64, P 〈 0. 01 and t = 0.72, P 〈 0. 01, respectively）. GAS, ADL, SSPI and ITAQ scored better in the training group than in the control one, with a statistically significant difference （ t = 2.90, P 〈 0. 01 ; t = 2. 39, P 〈 0. 05 ; t = 2. 98, P 〈 0. 01 ; and t = 3.37, P 〈 0. 01, respectively ）. SQLS score was significantly lower in the training group than that in control one （ t = 10. 66, P 〈 0. 01 ） , and WHOQOL-BREF score was significantly higher in the training group than that in the control one （ t = 3.94, P 〈 0.01 ）. Conclusion Social skills training can effectively improve subjective satisfactions of the long-term hospitalized patients with chronic schizophrenia.

关 键 词：慢性病 精神分裂症 康复 社会技能训练 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R749.305[医药卫生—临床医学]