社会技能训练对慢性精神分裂症病人的疗效观察  

TREATMENT EFFECT OF SOCIAL TECHNICAL TRAINING ON CHRONIC SCHIZOPHRENIA

作　　者：康建华[1] 张帆[1] 

机构地区：[1]云南省精神病医院,昆明650224

出　　处：《现代预防医学》2010年第8期1488-1490,1506,共4页Modern Preventive Medicine

摘　　要：[目的]探讨社会技能训练对慢性精神分裂症患者的疗效。[方法]将90例慢性精神分裂症患者随机分为训练组45例,对照组45例,对照组给予常规抗精神病药物治疗和护理,训练组在此基础上按照我院编写的院内康复训练程序进行训练,疗程为6月。在训练前及训练6月末分别采用阳性和阴性症状量表(PANSS)、护士用住院病人观察量表(NOSIE)和住院精神病人康复疗效评定量表(IPROS)进行临床疗效评定。[结果]训练组的PANSS、NOSIE和IPROS各因子分及总分评分治疗前后差异均有统计学意义(P﹤0.001),对照组的PANSS和IPROS各因子分及总分评分治疗前后差异均无统计学意义(P﹥0.05)。训练6月末,训练组PANSS和IPROS各因子分及总分均较对照组显著性降低,差异有统计学意义(P﹤0.001);NOSIE评分比较,训练组较对照组总消极因子分显著性降低,总积极因子分和病情总估计因子分显著性增加,差异有统计学意义(P﹤0.001)。[结论]社会技能训练能够改善慢性精神分裂症患者阳性症状、阴性症状和社会功能,是院内精神康复中减缓患者精神衰退,修复社会功能必不可少的治疗方法。[Objective] To study the effect of social skill-training on patients with chronic schizophrenia. [Methods] 90 patients with chronic schizophrenia were randomly divided into training group （45 patients） and control group （45 patients）. Control group was given conventional antipsychotics treatment and care. Training group was trained in accordance with the rehabilitation program compiled by our hospital in addition to conventional antipsychotics treatment and care. The course of treatment was 6 months. Before and after the treatment,90 cases were assessed with PANSS,NOSIE and IPROS. [Results] Before and after the treatment,there was significant difference between the factor scores and total scores in training group （P﹤ 0.001）. while there were no significant difference in control group （P﹥0.05）. At the end of 6 months training IPROS,PANSS factor scores and total scores significantly decreased compared with the control group （P﹤0.001）. Not only that,the training group significantly decreased in the total negative factor scores,and increased in the total positive factor scores and estimated factor scores of the whole condition factor compared with the control group based on the NOSIE criteria （P﹤0.001）. [Conclusion] Social skill-training can treat the positive and negative symptoms and improve social function in patients with chronic schizophrenia. It is a essential treatment to slow recession and restore the social function in hospital.

关 键 词：社会技能训练 慢性精神分裂症 精神康复 

分 类 号：R749.3[医药卫生—神经病学与精神病学]