技能训练对精神分裂症衰退期患者社会功能的影响

Effects of Skill-training on Social Function in Patients with Schizophrenia Recession

目的探讨技能训练对精神分裂症衰退期患者社会功能的影响。方法将60例精神分裂症衰退期患者随机分为干预组和对照组。干预组接受药物治疗的同时给予技能训练,对照组只接受药物治疗。分别于干预前及干预6个月、12个月后采用住院慢性精神分裂症社会功能评定量表(SSSI)和阳性与阴性症状量表(PANSS)进行评定。结果干预组治疗后PANSS评分较对照组明显下降(P<0.01);治疗6个月后,干预组SSSI评分下降(P<0.05),对照组分值下降不显著(P>0.05),12个月后有统计学意义(P<0.05)。结论在药物治疗的基础上,技能训练能有效改善患者退缩的精神症状,保存社会功能。

Objective To explore the effects of skill-training on social function in patients with schizophrenia recession.Methods 60 patients with schizophrenia recession were divided into 2 equal groups（n=30） for 1-year treatment.The control group was treated only with drugs,and the treatment group was treated with skill-training in addition.The patients were assessed with the Scale of Social Skill of Chronic Schizophrenic Inpatients（SSSI） and the Positive and Negative Symptom Scale（PANSS） before,6 months and 12 months after treatment.Results The total scores of PANSS decreased significantly in the treatment group compared with the control group（P〈0.01）.The scores of SSSI decreased significantly in the treatment group after treatment.However,there was no significant differences in the control group（P〈0.05） 6 months after treatment,but was 12 months after treatment（P〈0.05）.Conclusion Based on the medicine treatment,skill-training may improve the flinched mental symptom to remain the social function.