社会生活技能训练对慢性精神分裂症患者生活质量的影响

The influence of social life skill training on quality of life among patients with chronic schizophrenia

目的探讨社会生活技能训练对住院慢性精神分裂症患者生活质量的影响。方法将符合入组标准的110例患者分为研究组和对照组，研究组的患者在药物治疗的基础上给予生活技能训练、社会技能训练、健康教育等。对照组维持原药物治疗，采用传统的护理方法。以NOSIE-30及SANS量表对两组进行同步性比较研究并采用生活质量评定综合问卷（GQOLI-74）评价两组的生活质量。结果在NOSIE-30测查中的总积极因素增分值及总消极因素的减分值研究组明显高于对照组（P〈0．01）；SANS评分研究组（经治疗后）总分明显低于对照组，减分值明显高于对照组（P〈0．01）；研究组的躯体功能、心理功能、社会功能三个维度得分分别高于对照组（P〈0．01）。结论社会生活技能训练对改善住院慢性精神分裂症患者的阴性症状，促进其康复具有积极作用，提高了患者的住院生活质量。

Objective To explore the influence of social life skill training on quality of life among patients with chronic schizophrenia. Methods 110 cases were divided into experimental and control group. The formmer received drug and life skills training, social skills training and health education, while the latter group recived the drug and the trditional nursing. The quality of life between the groups were evaluated with scale of NOSIE-30, SANS and GQOLI-74. Results the positivescores of NOSIE-30 in experimental group were higher than that of control group, the ones off SANS showed lower in experimental group compared wiwh the control group. The score for physical, psychological and social function were all higher in experimental group. Conclusions Social life skill training can imprive the negative symptoms of hospilized patients chronic schizophrenia, promote their rehabilitation and enhance the quality of hospilized life.