《重返社区技能训练程式》对慢性精神分裂症康复效果的分析

Rehablitation effect of the procedural skill training of re-entry into community in chronic schizophrenic patients

目的探讨《重返社区技能训练程式》对慢性精神分裂症住院患者进行开放管理时的康复效果。方法将120例住院患者随机分成训练组和对照组各60例,对训练组进行8周的程式化训练,然后全部随访24周。采用阳性和阴性症状量表(PANSS)、自知力与治疗态度问卷(ITAQ)和Morningside康复状态量表(MRSS)进行评估。结果训练组的PANSS总分、阴性症状分及一般精神病理分,以及ITAQ分和MRSS各量表分,在训练前与训练第20周末、第32周末的统计学对比都提示有显著差异,并表明训练组的效益明显优于对照组。结论对于进行开放管理时的慢性分裂症患者,《重返社区技能训练程式》很可能提高其康复效果。

Objective To explore the rehabilitation effect of the procedural skill training of re - entry into community in chronic schizophrenic inpatients during open - ward management. Methods A total of 120 inpatients with schizo- phrenia were randomly divided into training group and control group, 60 cases respectively. This procedural skill training was carried out only in training group for 8 weeks. Then, all of them were followed up for 24 weeks. Positive and Negative Symptom Scale （PANSS）, the Insight and Treatment Attitude Questionnaire （ITAQ） and Morningside Rehabilitation Status Scale （MRSS） were adopted. Results The training group was demonstrated significantly better improvement in total score, scores of negative symptom and general psychopathological symptom in PANSS, ITAQ score and all MRSS subscale scores at the ends of 20th and 32th week after training. The rehabilitation status of training group was singificantly better than that of control group. Conclusion The procedural skill training of re - entry into community is quite possible to enhance the rehabilitation effect for chronic schizophrenic inpatients during open -ward management.