开放病房与封闭病房对长期住院精神分裂症患者康复疗效的影响

Rehabilitation comparison study of schizophrenia patients in open and closed wards

目的对比开放病房管理与封闭病房管理对精神分裂患者康复的疗效。方法对以阴性症状为主要临床相的80例精神分裂症患者，进行为期1年的院内康复治疗训练。采用住院精神病患者康复疗效评定量表（IPROS）进行治疗3，6，9，12个月后对疗效评定及分析。结果开放病房与封闭病房比较，康复疗效差异有统计学意义。开放病房治疗从6个月开始，社会功能、卫生能力、生活能力提高及社交能力均有改善。结论开放病房治疗对慢性分裂症患者的社会功能的改善有明显的促进。

Objective To compare rehabilitation outcome of schizophrenia patients in open and close Ward. Methods 80 patients in Mental Hygiene Prophylactico-- therapeutic Hospital were divided into two groups,the control group and the treatment group. The control group was givrn traditional close ward treatment. The treatment group adopted open ward treatment. The study accepted the inhospital patients rehabilitation evaluation scale （IPROS） as evaluation tool. The data was taken every three month. Results There was a good correlation between open ward treatment and better rehabilitation. The treatment patient had significant improvement compared to control group （P 〈 0. 05）. Conclusions The open ward--based treatment could help patient rehabilitation. Open ward should be considered for psychiatry treatment.