精神康复群组管理对社区精神分裂症患者生活技能的影响  

Effects of mental rehabilitation group management on survival skills of community patients with schizophrenia

作　　者：吕月娣 姜杨[1] 沈校康[1] 刘雪珍[1] 俞银华[2] 

机构地区：[1]浙江省立同德医院精神科,杭州310012 [2]浙江省立同德医院内科,杭州310012

出　　处：《中华现代护理杂志》2017年第17期2259-2262,共4页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划（2014KYB048）

摘　　要：目的 探讨精神康复群组管理模式对提高社区精神分裂症患者生活技能的有效性.方法 选择2014年1月—2016年8月杭州市某街道卫生服务中心建卡建册的社区精神障碍患者106例,采用随机数字表法分为干预组和对照组,每组53例.两组患者均维持原有的药物治疗和常规康复训练,干预组在此基础上接受为期4周的精神康复群组管理活动.干预前后采用生活技能训练（SST）评估表、社会功能缺陷筛选表（SDSS）进行评价,比较干预效果.结果 4周后干预组SST评估表总分从（33.11〈1.88）分提高至（70.03〈2.15）分,SDSS量表总分从（16.68〈0.38）分下降至（8.92〈0.32）分,康复效果均优于对照组,差异有统计学意义（t值分别为-12.952、-14.760;P〈0.01）.结论 精神康复群组管理模式能有效地改善社区精神分裂症患者的生活技能,提高了患者的人际交往能力,对顺利回归社会有积极的作用.Objective To explore the effectiveness of mental rehabilitation group management on the survival skills of community patients with schizophrenia.Methods Totally 106 community patients with mental disorder registered at a sub-district health service center in Hangzhou between January 2014 and August 2016 were equally divided into an intervention group and a control group according to the random number table. The patients in both groups received original drug treatment and regular rehabilitation training, while the patients in the intervention group, on this basis, received mental rehabilitation group management activities for 4 weeks. The effectiveness of this intervention was measured and compared with survival skills training scale （SST） and Social Disability Screening Schedule （SDSS） before and after the intervention.Results Four weeks later, the SST score of the patients in the intervention group increased from （33.11〈1.88） to （70.03〈2.15）, and their SDSS score decreased from （16.68〈0.38） to （8.92〈0.32）, showing that they had better rehabilitation effects than the patients in the control group （t=-12.952, -14.760;P〈0.01）.Conclusions The model of mental rehabilitation group management can effectively improve the survival skills and interpersonal skills of community patients with schizophrenia, thereby helping them to return to the society successfully.

关 键 词：精神分裂症 精神康复群组管理 生活技能 康复 

分 类 号：R473.2[医药卫生—护理学]