作业疗法对慢性精神分裂症患者生活质量的影响  

Occupational therapy effects on quality of life in patients with chronic schizophrenia

作　　者：施敏[1] 徐维安[1] 刘群[1] 徐静文[1] 肖颖[1] 

机构地区：[1]上海市民政第三精神卫生中心,上海200435

出　　处：《中国民康医学》2012年第17期2120-2122,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨开展作业疗法对慢性精神分裂患者生活质量产生的影响。方法:将符合入组标准的80例患者随机分为治疗组和对照组,各40人,在不改变精神科用药的基础上,治疗组进行作业疗法,为期两个疗程;对照组只给予常规的精神科药物治疗。采用阳性与阴性症状量表(PANSS)、健康状况调查问卷(SF-36)、生活满意度量表(LSR)、卢森堡自尊量表(SES)、自制操作者满意度调查表,在治疗前后对患者进行评定。结果:治疗组经作业疗法后,其阴性精神症状改善程度明显优于对照组(P<0.05),SF-36总评分及其生理机能(PF)、角色生理(RP)、社交功能(SF)、情感职能(RE)4个维度得分明显高于对照组(P<0.05),两组间的躯体疼痛(BP)、总体健康(GH)、生命活力(VT)、角色心理(MH)的维度得分差异无显著性(P>0.05),治疗组LSR、SES得分较治疗前有显著性差异,对照组无明显差异。结论:作业疗法对慢性精神分裂症患者生活质量有明显的改善作用,能有效的提高自尊水平及对生活的满意度。Objective：To explore the effect on the quality of life in chronic schizophrenic patients by occupational therapy. Methods：80 patients with schizophrenia were randomly divided into two group, on the foundation of do not changing the psychotropic drugs, treatment group（40 cases）was treated by occupational therapy, for two courses; control group （40 eases ）was only treated by General of psychotropic drugs treatment. Positive and negative syndrome scale （ PANSS）, Short Form - 36 Health Survey （ SF - 36 ） , and Life Satisfaction Rating Scales（ LSR）, and Rosenberg Self- Esteem Scale （SES）, and made the operator satisfaction survey, before treatment , and In treatment , and treatment of the patients after assessment. Results ： occupational therapy treatment group after two courses, degree of the negative psychological symptoms improved significantly better than the control group （ P 〈 0.05 ）, SF - 36 total scores and the factor scores of physiological functioning （PF）, and role limitations due to physical health （RP）, Social functioning （SF） And role limitations due to emotional problems（RE） significantly higher than the control group （P 〈 0.05 ）, there were no remarkable differences in the factor scores of bodily pain （BP） General health perceptions （ GH ） , vitality （VT） , mental health （MH） between both groups （ P 〉 0.05 ） , the scores of LSR and SES showed significant differences in treatment group than before , control group no significant differences. Conclusions： occupational therapy on chronic schizophrenia patients have a significant role in improving the quality of life, can improve selfesteem and life satisfaction.

关 键 词：作业疗法 慢性精神分裂症 生活质量 

分 类 号：R749.3[医药卫生—神经病学与精神病学]