肇事肇祸精神分裂症患者院内重返社会程式训练及其疗效的一年随访  

One year follow-up study of rehabilitation effect of the procedural skill training of re-entry into community in troublemaking in hospital schizophrenics:

作　　者：王桂丽[1] 潘烨[1] 蔡成华[1] 林祥吉[1] 李新英[1] 杨会[1] 纪青松[1] 史天涛 

机构地区：[1]北京市安康医院,101300

出　　处：《四川精神卫生》2014年第6期494-497,共4页Sichuan Mental Health

摘　　要：目的探讨重返社会程式训练对肇事肇祸精神分裂症患者的疗效。方法采用随机数字表法,将90例康复期肇事肇祸精神分裂症患者分为研究组和对照组各45例,研究组接受12周的重返社会程式训练,出院后随访一年,并对两组进行阳性和阴性症状量表(PANSS)、外显攻击行为量表(MOAS)、社会功能缺陷评定量表(SDSS)评定。结果研究组有43名完成随访、对照组有44名完成随访。1与入组时比较,住院期间研究组PANSS减分除第2周末外,其它各时间点(4周、8周、12周末)减分的幅度均大于对照组(P<0.01);2出院时与随访第12月末评定差值的比较,研究组的PANSS总分、MOAS、SDSS减分值分别为(3.16±2.13)分、(0.42±0.34)分、(4.04±2.13)分,与对照组比较,差异均有统计学意义(P均<0.01);3研究组的复发率和再住院率均低于对照组,差异有统计学意义(11.6%vs.25.0%,2.3%vs.11.4%,P均<0.05);4研究组的攻击行为发生率低于对照组,差异有统计学意义(4.7%vs.15.9%,P<0.01)。结论重返社会程式训练对控制肇事肇祸精神分裂症患者的病情、提高社会功能、降低复发率和再住院率以及减少攻击行为的再次发生具有重要的作用。Objective To explore the rehabilitation effect of the procedural skill training of re-entry into community in trouble-making schizophrenics. Methods A total of 90 inpatients with schizophrenia were randomly divided into training group and c ontrol＆amp;nbsp;group,45 cases respectively. This procedural skill training was carried out only in training group for 12 weeks. Then,all of them were followed up for 12 months. Positive and Negative Symptom Scale（ PANSS）,Modified Overt Aggression Scale（ MOAS）and Social Disability Screening Schedule（ SDSS）were adopted. Results Eighty -seven subjects completed the 1-year follow-up. According to the reduction score of PANSS,the study group demonstrated better improve-ment at the 4th,8th,12th week（P﹤0.01）.The training group was demonstrated significantly better improvement in total score in PAN-SS（3.16 ± 2.13）,MOAS（0.42 ± 0.34）and SDSS（4.04 ± 2.13）scores at the ends of 12th month after training（all P﹤0.01）. The rates of relapse and rehospitalization were significantly lower（11.6%vs.25.0%,2.3%vs. 11.4%,P﹤0.05）,and the rate of the re-currence of aggressive behavior was also lower than the control group（4.7%vs.15.9%,P﹤0.01）. Conclusion The community re-entry program is helpful in relieving symptoms,improving social function,reducing the rates of relapse,rehospitalization and recur-rence of aggressive behavior of the troublemaking schizophrenics.

关 键 词：精神分裂症 攻击行为 程式训练 康复 

分 类 号：R749.3[医药卫生—神经病学与精神病学]