在部队慢性精神分裂症患者中开展回归社会程式化训练效果  

Effect of Programmed Training of Social Regression on the Chronic Schizophrenic Patients in PLA Troops

作　　者：孟文峰[1] 蔡红霞[2] 李恺[3] 姚佳志[1] 郑新红[4] 焦翠[1] 王静[1] 

机构地区：[1]解放军261医院军人康复休养部,北京100094 [2]解放军261医院工娱治疗中心,北京100094 [3]解放军261医院临床实验室,北京100094 [4]解放军261医院心理危机干预中心,北京100094

出　　处：《解放军医药杂志》2014年第12期101-104,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：首都发展基金(2011-5008-01)

摘　　要：目的研究回归社会程式化训练对部队慢性精神分裂症患者的康复效果。方法选择2011年10月—2013年10月我院集中收住的106例部队慢性精神分裂症患者,其中对照组45例,试验组42例完成试验。对照组进行常规训练,试验组在对照组基础上进行回归社会程式化训练。两组均于入组时、训练第8、26周末,分别采用阳性与阴性症状量表(positive and negative syndrome,PANSS)、护士观察量表(nurses'observation scale for inpatient evaluation,NOSIE)、社会功能缺陷量表(social dysfunction scale,SDSS)对两组进行康复状态评估。结果试验组训练第8、26周末PANSS、NOSIE、SDSS量表评分改善情况均优于对照组(P<0.05,P<0.01);试验组训练第26周末各量表评分均较入组时改善,对照组训练第26周末除NOSIE量表中社会能力、个人卫生、精神病性症状和激惹因子外,其余量表各因子均较入组时改善(P<0.01)。结论回归社会程式化训练能改善部队慢性精神分裂症患者的精神症状,提高社会功能和生活质量。Objective To study the rehabilitation effect of programmed training of social regression on chronic schizophrenic patients in PLA troops. Methods A total of 106 schizophrenia patients in PLA troops during October 2011 and October 2013 were recruited in this study, and divided into control group （n = 45） and experimental group （n = 42）. The control group was given routine training, while the experimental group was given programmed training of social regression based on the treatment of control group. The scores of rehabilitation situation of the two groups were respective- ly evaluated with positive and negative syndrome （PANSS）, nurses＇observation scale for inpatient evaluation （NOSIE） and the social dysfunction scale （SDSS） upon enrollment, at the end of the 8＇h and 26＇h week of training. Results At the end of the 8＇h and 26＇h week of training, the PANSS, NOSIE and SDSS scores of the experimental group were significantly improved than those of the control group （P 〈0.05, P 〈0. 01 ）. At the end of 26＇h week of training, all scores of the ex- perimental group were significantly improved than those upon enrollment in the same group, while scores of the control group were significantl~ improved than those upon enrollment in the same group except for social skills, personal hygiene, psychotic symptoms and irritation in NOSIE at the end of the 26 week （P 〈 0. 01 ）. Conclusion The programmed train- ing of social regression may improve the psychotic symptoms of chronic schizophrenic patients, and improve their social function and quality of life in PLA servicemen and women.

关 键 词：军事人员 精神分裂症 心理疗法 社会功能 生活质量 

分 类 号：R828.74[医药卫生—临床医学] R749.3