96例慢性精神分裂症患者出院后社会日常生活能力康复追踪观察

The 96 chronic schizophrenes gets out of the hospital the behind activity of daily living recovers from illmess to track the observation

目的评价职业治疗对慢性精神分裂症患者回归社会功能康复效果。方法对96例精神分裂症患者按入组要求分为两组,研究组48人为住院期间参加职业治疗,社会功能训练,出院后继续社区康复;对照组48人为普通病区住院没参加过职业治疗。评定工具为住院精神病人康复病人康复疗效评定量表(IPROS)、阳性与阴性症状量表(PANSS)、日常生活能力社会区康复量表(ADL)。结果经过职业治疗病人回归社会区康复者其生活能力,社会技能、症状改善较没参加过职业治疗明显改善。PANSS、IPROS及ADL量表总分比社会康复前明显下降(P<0·01)逐步回归分析ADL评分与IPROS、PSNSS总分呈线性关系(P<0·05)。结论职业治疗对慢性精神分裂症患者出院后的日常生活能力恢复有明显作用,提高患者社区康复兴趣,有利于患者回归社会。

Aim This research is aimed at studying the social functioning of the chronic schizophrenia patients on their discharge to the community by using occupational therapy as a rehabilitation means. nehods The research is designed for 96 in-patient chronic schizophrenic patients, chosen at request. They were divided into two groups of 48 each, being one as a research group and another as control group. The in-patients of the research group were treated with occupational therapy with social funtioning training as a focus. The get out of hospital subsequence continuously community rehabilitation. The in-patients of the control group were ordinary patients however with no occupational therapy treatment provided. The evalution tools used in the research are Inpatient Psychosis Rehabilitation Observe Scale （IPROS）, Positive and Negative Syndrome Scale （PANSS） and Ac- tivity of Daily Living Scale （ADL） . Results It is found that there were much better improvements in general life skills, social effectiveness and amelioration in symptoms found in the patients of the research group than those from the patients of the control group. The total scores for them using the tools of Inpatient Psychosis Rehabilitation Observe Scale （IPROS）, Positive and Negative Syndrome Scale （PANSS） and Activity of Daily Living Scale （ADL） were found much lowered than the scores obtained before the OT treatment was provided （ P 〈 0.01 ） The regressional analysis between the total scores in the ADL scales the IPROS. PSNSS appeared linear in relation （ P 〈 0.05 ） . Conclusion Occupatiopnal Therapy to the chronic schizophrenia patients activity of daily living getting out of the hospital have obvious function, increasing sufferer＇ s community rehabilitation the interest and is an intervention beneficial for community re-integration.