工娱活动联合日间康复技术用于精神分裂症缓解期的效果观察  

Efficacy of work-amusement activities combined with daytime rehabilitation technology for schizophrenia in remission

作　　者：严焕然 沈妃 郭红 Huanran Yan;Fei Shen;Hong Guo(The First Ward of Department of Psychiatry,Shaoxing 7th People's Hospital,Shaoxing 312000,Zhejiang Province,China;The Second Ward of Department of Psychiatry,Shaoxing 7th People's Hospital,Shaoxing 312000,Zhejiang Province,China)

机构地区：[1]绍兴市第七人民医院精神科一病区,绍兴312000 [2]绍兴市第七人民医院精神科二病区,绍兴312000

出　　处：《中国基层医药》2023年第1期108-111,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的:观察工娱活动联合日间康复技术用于精神分裂症缓解期的治疗效果。方法:前瞻性选取2018年9月至2020年4月绍兴市第七人民医院收治的处于精神分裂症缓解期患者218例进行研究,将218例精神分裂症患者根据简单随机分组法分为观察组(109例)和对照组(109例),两组患者均采用常规药物治疗,对照组在此基础上采用日间康复技术治疗,观察组在对照组的基础上联合工娱活动治疗。治疗12周后,比较两组患者的治疗效果、阳性与阴性症状量表(PANSS)和蒙特利尔认知评估量表(MoCA)评分。结果:治疗12周后,观察组总有效率为91.74%,高于对照组的77.06%(χ^(2)=8.92,P<0.05);观察组的PANSS评分为(33.12±4.19)分,明显低于治疗前的(40.54±5.32)分(t=11.44,P<0.05),对照组的PANSS评分为(35.02±4.33)分,明显低于治疗前的(40.54±5.32)分(t=8.55,P<0.05),且观察组治疗后PANSS评分低于对照组(t=3.29,P<0.05);观察组的MoCA评分为(27.14±2.89)分,明显高于治疗前的(23.39±2.48)分(t=10.28,P<0.05),对照组的MoCA评分为(26.02±2.73)分,明显高于治疗前的(23.41±2.56)分(t=7.28,P<0.05),且观察组治疗后MoCA评分高于对照组(t=2.94,P<0.05)。结论:工娱活动联合日间康复技术治疗缓解期精神分裂症的疗效显著,可明显改善患者的精神症状和认知功能。Objective To investigate the efficacy of work-amusement activities combined with daytime rehabilitation technology for schizophrenia in remission.Methods A total of 218 patients with schizophrenia in remission who received treatment in Shaoxing 7th People's Hospital from September 2018 to April 2020 were prospectively included in this study.They were randomly divided into an observation group(n=109)and a control group(n=109).Both groups were treated with routine drugs.Based on this,the control group was treated with daytime rehabilitation technology,and the observation group was treated with daytime rehabilitation technology combined with work-amusement activities.After 12 weeks of treatment,curative effect,Positive and Negative Symptom Scale(PANSS)and Montreal Cognitive Assessment(MoCA)scores were compared between the two groups.Results After 12 weeks of treatment,total response rate in the observation group was significantly higher than that in the control group(91.74%vs.77.06%,χ^(2)=8.92,P<0.05).After treatment,PANSS score in the observation group was significantly decreased compared with that before treatment[(33.12±4.19)points vs.(40.54±5.32)points,t=11.44,P<0.05].After treatment,PANSS score in the control group was significantly decreased compared with that before treatment[(35.02±4.33)points vs.(40.54±5.32)points,t=8.55,P<0.05].After treatment,PANSS score in the observation group was significantly lower than that in the control group(t=3.29,P<0.05).After treatment,MoCA score in the observation group was significantly increased compared with that before treatment[(27.14±2.89)points vs.(23.39±2.48)points,t=10.28,P<0.05].After treatment,MoCA score in the control group was significantly increased compared with that before treatment[(26.02±2.73)points vs.(23.41±2.56)points,t=7.28,P<0.05].After treatment,MoCA score in the observation group was significantly higher than that in the control group(t=2.94,P<0.05).Conclusion The efficacy of work-amusement activities combined with daytime rehabilitation techn

关 键 词：精神分裂症 日间康复技术 工娱活动 缓解期 治疗效果 阳性与阴性症状量表 精神症状 认知功能 

分 类 号：R749.3[医药卫生—神经病学与精神病学]