摘要
目的:探讨代币制疗法在慢性精神分裂症患者康复训练中的应用方法及临床效果。方法:对30例慢性精神分裂症住院患者应用代币制疗法进行康复功能训练,并使用住院患者观察量表(NOSIE)和症状自评量表(SCL-90)进行治疗效果评价。结果:实施代币制疗法6个月,患者NOSIE评分及SCL-90评分与治疗前比较差异有统计学意义(P<0.01)。结论:将代币制疗法应用于慢性精神分裂症住院患者的康复训练,可明显改善其精神症状和生活能力,值得临床推广应用。
Objective ： To explore the application method of token economy therapy in the rehabilitation training for patients with chronic schizophrenia and evaluate its clinical effect. Methods： The rehabilitation training was given to 30 hospitalized patients with chronic schizo- phrenia by using token economy therapy, and then the nurses＇ observation scale for inpatient evaluation （ NOSIE ） and symptom checklist （ SCL - 90 ） were used to evaluate the treatment effect. Results ： There were statistically significant differences in the comparison of the scores of NOSIE and SCL - 90 after the implementation of token economy therapy for 6 months, compared with those before the treatment （ P 〈 0.01 ）. Conclusion： The token economy therapy can significantly improve the psychiatric symptoms and life skills in the rehabilitation training for hospitalized patients with chronic schizophrenia.
关键词
代币制疗法
精神分裂症
康复训练
Token economy therapy
Schizophrenia
Rehabilitation training
