技能训练对慢性精神分裂症患者康复的影响

Influence of Antipsychotics plus Skill Training on Recovery of Social Function in Patients with Chronic Schizophrenia

目的:评估技能训练对慢性精神分裂症患者社会功能康复的影响。方法:79例慢性精神分裂症患者随机分为研究组41例和对照组38例,均给予抗精神病药物治疗。研究组同时进行生活自理和职业技能培训。治疗前后分别采用阳性和阴性症状评定量表(PANSS)、日常生活能力量表(ADL)和社会功能缺陷筛选量表(SDSS)评定康复效果。结果:治疗12个月后,研究组PANSS、ADL和SDSS评分与治疗前及对照组比较均显著下降(P<0.05,0.01),对照组治疗前后各项评定指标变化不明显。结论:技能训练有助于慢性精神分裂症患者社会功能的康复。

Objective：To explore the influence of antipsychotics combined with skill training on the recovery of social function in the patients with chronic schizophrenia. Methods：Seventy-nine cases of chronic schizophrenia were randomly divided into study group （n=41,antipsychotics plus skill training） and control group （n=38,antipsychotics alone）. Before and after treatment,both groups were assessed with Positive and Negative Symptom Scale （PANSS）,Activity of Daily Living Scale （ADL） and Social Disability Screening Schedule （SDSS） respectively to evaluate their recovery effects. Results：After treatment for one year,the general scores and majority factors of PANSS,ADL and SDSS in study group were decreased significantly as compared with the baseline （P0.05,P0.01）,and improvements of PANSS,ADL and SDSS in the study group were more significant than those in the control group （P0.05,P0.01）. Conclusion：Treatment with antipsychotics plus skill training facilitates their recovery of social function in the patients with chronic schizophrenia.