综合康复对军队慢性精神分裂症患者社会适应能力的影响

The influence of comprehensive rehabilitation training on the social adaptability of soldier’s chronic schizophrenics

目的探讨综合康复训练对军队慢性精神分裂症患者自尊、社交能力及应对能力的影响。方法将86例慢性精神分裂症军人患者随机分为研究组42例与对照组44例。对照组给予常规抗精神病药治疗,研究组在此基础上实施综合康复训练。疗程均为2mo。采用社交焦虑量表、自尊量表和简易应对方式问卷分别于综合康复训练前及训练末1w内进行评定分析。结果综合康复训练前,两组各量表总分及各因子分均无显著性差异(P>0.05);综合康复训练末,研究组自尊量表分明显提高(P<0.01),社交焦虑体验和回避社交因子分明显下降(P<0.01),积极应对因子分显著升高(P<0.05),消极应对因子分明显降低(P<0.05);两组比较差异有显著或极显著性(P<0.01,或0.05)。结论综合康复训练可改善精神分裂症患者的应对能力和社交能力,提高社会适应能力。

Objective To explore the influence of comprehensive rehabilitation training on self-respect, social capacity and coping capacity of soldier＇s chronic schizophrenics. Methods 86 soldier＇s chronic schizophrenics were randomly divided into research（n=42） and control （n= 44）group. The former received the combination of comprehensive rehabilitation training and routine antipsychotics and the latter did routine antipsychotics for 2 months. Assessments were conducted using the Liebowitz Social Anxiety Scale （LSAS）, The Self-Esteem Scale（SES） and Simplified Coping Style Questionnaire（SCSQ） were used before training and within 1 week after training. Results Before training, there were no significant differences in total and factors＇ scores of each scale between the 2 groups（P〉0 05）; at the end of training, in the research group score of the SES increased significantly（P〈0.01）, scores of both social anxiety and avoidance decreased（both P〈0.01）, score of active coping increased significantly（P〈0. 05） and the negative decreased（P〈0.05）; there was significant difference between the 2 groups（P〈0.01）. Conclusion The comprehensive rehabilitation training can improve the coping capacity, social capacity and adaptability.