慢性精神分裂症住院康复模式的探索(附42例实施效果观察)

An Institution-based Rehabilitation Model for Chronic Schizophrenic Patients

为慢性精神分裂症住院病人设计包括环境、心理、操作、文体、音乐、家庭社会干预、行为治疗等内容的精神康复模式,对42例进行4个月临床实施及观察,结果其生活能力、康复疗效均提高,阴性症状改善,有助于阳性症状缓解,减少精神药物用量。并提示急性症状基本控制即应持之以恒地开展综合康复治疗。

This paper is to present an institutional-based rehabilitation (IBR) model for chronic Schizophrenic patients and its applicability. The model consists of such components as medication, environmental , psychological, occupational, recreational, behavioral and social intervention as well as the involvement of patient's family. Of the 42 patients intervened using this model for 4 months, the self care ability of all the patients were improved significantly, positive symptoms relieved, negative symptoms improved, arid the dosage of antipsychotic drugs used decreased. Results of this paper indicate that the model :s very applicable and should be employed as soon as the acute symptoms were controlled.