多维度模式康复对住院精神分裂症患者行为表现及社会功能的影响  

Effect of multidimensional pattern rehabilitation on behavioral performance and social function of inpatients with schizophrenia

作　　者：保娟[1] 吴双燕[1] BAO Juan;WU Shuang-yan(Department of Psychiatry,Nantong Fourth People′s Hospital,Nantong 226000,China)

机构地区：[1]南通市第四人民医院精神科,江苏南通226000

出　　处：《吉林医学》2022年第9期2551-2555,共5页Jilin Medical Journal

基　　金：南通市科技局指导性课题[项目编号:MSZ18239]。

摘　　要：目的:探讨多维度模式康复对住院精神分裂患者行为表现和社会功能变化的影响。方法:选取收治的80例精神分裂症患者为研究对象,随机分为对照组和观察组各40例。对照组实施常规康复措施,观察组采用多维度模式开展康复训练。比较两组患者的精神症状(采用PANSS评分)、行为表现(采用NOSIE评分)及社会功能(采用SSPI评分)。结果:康复干预后,两组患者PANSS评分、NOSIE量表中消极因子评分均较干预前有所降低(P<0.05),NOSIE总分和积极因子评分、SSPI评分均明显高于干预前(P<0.05);组间比较,观察组PANSS评分、NOSIE量表中消极因子评分均低于对照组(P<0.05),NOSIE总分和积极因子评分、SSPI评分均明显高于对照组(P<0.01)。结论:多维度模式康复可以促进住院精神分裂症患者精神症状、行为表现及社会功能的改善,有利于患者尽早回归社会。Objective To investigate the effect of multidimensional rehabilitation on behavior performance and social function of inpatients with schizophrenia.Method A total of 80 schizophrenic patients were selected as the research object, and they were divided into control group and observation group by random number table method, with 40 patients in eachgroup. The control group received conventional rehabilitation therapy, and the observation group received multidimensional rehabilitation therapy.The mental symptoms(by PANSS score), behavioral performance(by NOSIE score) and social function(by SSPI score) were compared between the two groups.Results After rehabilitation intervention, the PANSS score and the negative factor score of NOSIE scale in two groups were lower than those before intervention(P<0.05),the total score and positive factor score of NOSIE scale, SSPI score were significantly higher than those before intervention(P<0.05). The PANSS score and negative factor score of NOSIE scale in the observation group were lower than those in the control group(P<0.05), and the total score and positive factor score of NOSIE scale, SSPI score were significantly higher than those in the control group(P<0.01).Conclusion Multidimensional rehabilitation model can promote the improvement of mental symptoms, behavioral performance and social function of inpatients with schizophrenia, which is conducive to inpatients return to society as soon as possible.

关 键 词：精神分裂症 多维度模式康复 精神症状 行为表现 社会功能 

分 类 号：R473.74[医药卫生—护理学]