基于人类职能理论指导下的训练方式对精神分裂症患者康复疗效的影响

The rehabilitation effect of training pattern guided by Mode of Human Occupation in schizophrenia patients

目的:探讨人类职能理论(MOHO)指导下的训练方式对精神分裂症的康复效果。方法 :将80例精神分裂症患者随机分为MOHO组及WAT组,WAT组实行常规治疗,包括药物治疗及一般工娱疗。研究组在药物治疗的基础上应用MOHO理论指导下的康复训练模式。治疗前后分别应用生活技能量表(ADL)、功能活动调查表(FAQ)评定患者的社会功能。结果:治疗6个月后两组ADL、FAQ评分有显著差异(t=2.26,P<0.01;t=2.11,P<0.05);与基线比较,MOHO组ADL、FAQ评分有显著差异(F=4.89,P<0.05;F=5.15,P<0.05)。结论:MOHO指导下的训练方式较传统的工娱疗对精神分裂症的康复效果更好。

Objective To investigate the rehabilitation effect of training pattern guided by Mode of Human Occupation （MOHO） in schizophrenia patients. Methods 80 schizophrenia patients were randomly divided into study group and control group. In control group, regular therapy including medicine therapy, and tranditional Work and Amusement Therapy（WAT） were used. In study group ,the training pattern guided by MOHO based on medicine therapy were used. Cognitive functions were evaluated by activity of daily living scale （ADL） and function activity questionnaire （FAQ） before and after therapy. Results After six months therapy, the scores of ADL and FAQ were significantly different between two groups（t = 2.26,P 〈 0.01 ;t = 2.11 ,P 〈 0.05）. In study group, the scores of ADL and FAQ were significantly different from base line （F = 4.89, P 〈 0.05;F = 5.15,P 〈 0.05）. Conclusion Training pattern guided by MOHO is more effective than tranditional WAT in rehabilitation treatment for schizophrenia patients.