角色转换技能训练对首发精神分裂症患者社会功能的影响

Effects of role-reversal skill training on social function of patients with first-episode schizophrenia

目的探讨护士在对首发精神分裂症患者痊愈期角色转换技能训练过程中的作用,以及角色转换对其社会功能缺陷的影响。方法由护士对训练组52例痊愈期患者进行为期12个月的角色转换技能训练和跟踪随访,对照组50例痊愈期患者进行为期12个月的一般性随访。在入组时、出院6个月和12个月时进行社会功能缺陷量表(SDSS)的评定。结果训练组SDSS的10项指标和量表总分在出院6个月和12个月时明显低于对照组,经SPSS11.0检验,差异有非常显著性意义(P<0.005)。结论角色转换技能训练能明显减少痊愈期首发精神分裂症患者社会功能缺陷。

Objective To explore nurses＇ roles in role-reversal skill training of patients with first-episode schizophrenics at recovery stage and effects of role-reversal on their social disability. Methods Role-reversal skill training and follow-up were conducted by holistic nurses in 52 healing schizophrenics（training group） and general follow-up in 50 ones（control group） for 12 months. Assessments were made with the Social Disability Screening Schedule （SDSS） on enrolment and in the 6th and 12th month after discharge.Results Total 10 index and total scores of the SDSS in the 6th and 12th month after discharge were significantly lower in the training than in the control group （P〈0.05）. Conclusion Role-reversal skill training can obvi- ously reduce social disability of patients with first-episode schizophrenics at recovery stage.