康复工场活动对社区精神分裂症患者社会功能的影响

Effect of Rehabilitation Workshop on Social Function of Patients with Schizophrenia in Community

目的探讨提高社区精神分裂症患者社会功能的方法。方法 指导50例社区精神分裂症患者积极参加康复工场活动,随机选择50例没有参加专业康复训练的社区精神分裂症患者作为对照组,采用阳性和阴性症状量表(PANSS)和个人与社会功能量表(PSP)进行1年随访。结果 1年后,研究组PSP总分较对照组高,PANSS总分和阴性症状因子分较对照组低(P<0.05)。研究组1年前后PSP总分、PANSS总分和阴性症状因子分都有显著性差异(P<0.05),对照组无显著性差异。结论 社区精神分裂症患者通过参加康复工场活动,可以改善病情和社会功能。

Objective To explore how to improve the social function of schizophrenia patients in the community.Methods 50 patients with schizophrenia were guided in the community to positively join in the rehabilitation workshop activities.Other 50 patients with schizophrenia in the community that didn＇t join in the rehabilitation activities were as controls.All the patients were assessed with Positive and Negative Syndrome Scale（PANSS） and Personal and Social Performance Scale（PSP） before and a year after intervention.Results The total score of PSP in the study group was higher than that in the control group,while the total score of PANSS and the score of Negative Syndrome in the study group were lower than those in the control group（P0.05）.After a year,there were significant differences in the total scores of PANSS,PSP and score of Negative Syndrome in the study group compared with before（P0.05）,but not in the control group.Conclusion Joined in the rehabilitation workshop activities for patients with schizophrenia in the community is useful to reduce their illness,improve their social function.