社交综合技能训练对住院慢性精神分裂症患者的疗效

The effect of comprehensive social skills training on chronic inpatients of schizophrenia

目的 探讨社交综合技能训练对慢性精神分裂症患者的康复效果。方法 将120例住院慢性精神分裂症患者,随机分为试验组和对照组;试验组除常规治疗外,主要实施本研究设计的社交综合技能训练（简称“训练”）,训练时间为4个月,使用量表SANS、IPROS测评。结果 2组患者在治疗前SANS、IPROS各因子分及总评总和分（指各因子总评分相加）比较,其差异无显著意义（P〉0.05）;治疗组治疗后试验组情感平淡、思维贫乏、意志缺乏、兴趣缺乏、注意障碍、总评总和[分别为（1.41±0.40）分,（1.34±0.46）分,（1.44±0.49）分,（1.90±0.49）分,（1.48±0.51）分,（28.67±7.69）分]低于治疗前[分别为（2.18±0.64）分,（2.11±0.72）分,（2.32±0.68）分,（2.80±0.55）分,（2.26±0.72）分,（44.28±11.38）分]显著减少（P〈0.01）;而对照组治疗前后比较差异无显著性。结论 社交综合技能训练可促进慢性精神分裂症患者积极参加人际交往、参与社会生活,有较好的社交康复效果,应考虑进一步验证和发展。

Objective To investigate the rehabilitation effect of the comprehensive social skills training in chronic schizophrenia. Methods 120 chronic inpatients of schizophrenia were randomly divided into experimental group and controlled group. The＂ comprehensive social skills training＂ （ ＂training＂ for short）designed in this article was adopted only in experimental group, and the routine treatment （antipsyehoties and daily rehabilitation training）were carried out in both of two groups at the same time. Results The statistical differences showed no significance （ P 〉 0.05 ） in the comparison of each factor scores and their total scores of SANS, IPROS between two groups before treatment, but the statistical differences in each above-mentioned items showed marked significance （ P〈 0.01 ） after routine treatment with training in experimental group, and no significant change in the controlled group after routine treatment only. Conclusion To practise this kind of comprehensive social skills training with routine treatment for chronic inpatients of schizophrenia and actively promote them to take part in interpersonal communication and other social activities ,then the better social rehabilitation effect had been preliminary reached, so it would be worthy to further verify and develop.