慢性精神分裂症患者职业康复疗效与自测健康的评估

Assessment of chronic schizophenic patient's occupational training and elementary analysts on quality of life

目的评估慢性精神分裂症患者职业康复的疗效与健康状况的关系。方法５８例康复期患者参与群体式、协同性的工疗活动，经过５个月训练，应用ＩＰＲＯＳ量表前后评定。并用自测健康评定量表评定，与一般人群进行比较。结果ＩＰＲＯＳ除社交因子外，其余项目减分差异有统计学意义（Ｐ＜０．００１）。患者健康状况在整体感觉、心理、社会健康因子等方面与对照组无差异（Ｐ＞０．０５），但生理健康因子分则明显低于对照组（Ｐ＜０ ．００１）。结论患者经职业康复训练后，整体功能明显提高且健康状况接近一般人群，但应注意改善患者躯体健康状况。

Objective To assess occupational training therapy effect and the quality of life on the chronic schizoahenic patients during recuperation. Methods When 58 patients participated in the collective and cooperative activity of occupational therapy. The efficacy was measured with the IPROS befor and after 5 months of training, assessed with Self-rated Health Measurement Scale(SRHMS) and compared with general people. Results There were significant difference in the diminishing scores of the items of IPROS except for the item Social Communication. For the SRHMS there were no significant difference in sensatio of wholism, psychology and social function between two proups, but the scores of physiological factors of the patients were lower than the control group. Conclusion it is suggested that the the overall function of patients is evidently enhanced and the quality of life of the patients is approximated to general peope after the occupational rehabilitation training, but the improvement of the patients' somematic health should be attended to.