提高精神病患者生活自理能力的临床路径研究

目的:探讨提高精神病患者生活自理能力的临床方法及效果。方法:收治精神分裂症衰退型患者150例,将全部患者随机分成三组各50例,一组患者采用生活自理能力训练与管理(管理组),一组患者采用始动训练治疗(训练组),一组患者只给予常规精神病治疗(对照组),比较三组患者治疗前后的临床疗效及SSPI、ADLPI评分。结果:治疗后,管理组与训练组患者的SSPI总分、各因子的评分及ADLPI总分明显高于治疗前(P<0.05);管理组患者治疗后的SSPI总分、各因子的评分及ADLPI总分明显高于对照组(P<0.05);训练组患者治疗后的SSPI总分、各因子的评分及ADL-PI总分明显高于对照组(P<0.05);管理组患者与训练组患者的SSPI总分、各因子的评分及ADLPI总分相比无明显差异(P>0.05)。结论:对住院精神病患者进行提高生活自理能力的训练与管理,或者采用始动训练法治疗可以取得满意的临床疗效。

Objective：to improve the mental patient self - care ability of clinical methods and effects. Methods： 150 cases who were treated in our hospital for the treatment of schizophrenia depression patients, all the patients were randomly divided into three groups of 50 patients each, one group of pa- tients with self- care ability training and management （ Group ）, a group of patients with initial training in treating （training group）, a group of patients given routine psychiatric treatment （ control group ） , were compared between the three groups before and after treatment of clinical efficacy and SSPI, ADLPI score. Results ： after treatment, management and training groups of patients with SSPI scores, each factor score and total score of ADLPI was significantly higher than that before the treatment （ P 〈 0.05 ） ; man- agement group of patients after treatment of SSPI total scores,each factor score and total score of AI）LPI was higher than that of con- trol group （ P 〈 0.05 ） ; training groups of pa- tients after treatment of SSPI total,each fac- tor score and total score of ADLPI was high- er than that of control group （ P 〈 0.05 ） ; management group of patients and training groups of patients with SSPI scores, each factor score and total score of ADLPI com- pared no significant difference （ P 〉 0.05 ）. Conclusion： for hospitalized patients with psychosis were to improve self - care ability training and management, or by initiating training method treatment can gain satisfac- tory clinical curative effect, it is worth pro- moting in clinical.