精神康复会所模式对精神分裂症患者干预效果评价

Evaluation of intervention effect of psychiatry clubhouse model in treatment of schizophrenia patients

目的:探索会所模式对精神分裂症患者的康复成效。方法:选取罗湖区慢性病防治院精神科门诊就诊的精神分裂症患者作为研究对象,根据其康复模式分为会员组和非会员组,分别进行为期12个月的会所模式和一般社区职业康复中心模式的康复训练观察,采用自身前后对照法进行效果评定。结果:经过康复训练,会员组LSIB得分由(10.23±4.35)上升至(13.23±3.21),而非会员组由(8.56±4.60)上升至(9.77±4.57),上升趋势具有统计学意义(F时间=5.810,P<0.05),且会员组上升幅度明显高于非会员组(F时间*会员=4.030,P<0.05);患者焦虑抑郁、缺乏活力、思维障碍、激活性和敌对情绪都明显减低,且具统计学意义(P均<0.05),且在"思维障碍"方面,会员组下降幅度大于非会员组(P<0.05)。结论:康复训练有助于提高患者生活满意度,改善患者病情,提高患者自知力,且会所模式独有的康复特点对患者的后期康复效果优于一般社区职业康复中心。

Objective： To explore rehabilitation effectiveness of clubhouse model in treatment of schizophrenia patients. Meth- ods ：The schizophrenia patients visiting our psychiatry outpatient clinic were selected as research object and divided into member group and non-member group according to their rehabilitation pattern. The rehabilitation training effects of the clubhouse model and the voca- tional rehabilitation center model in communities were observed and recorded for 12 months, respectively. The efficacy of each group was compared before and after the intervention. Results： After the rehabilitation training, the score of life satisfaction index B （LSIB） in member group increased from 10.23±4.35 to 13.23±3.21, while that of non-member increased group from 8.56±4.60 to 9.77±4. 57. The rising trend was obvious and had a statistical significance （ F time =5. 810, P〈0.05 ）. The increasing range of member group was higher than that of non-member group （ F time ＊ membership =4. 030, P〈0.05 ）. The symptoms of anxiety and depression, loss of energy, thought disturbance, activation and hostility had been greatly improved, and they all had the statistical significances （ Paver- age〈0.05 ）. For the thought disorder part, the improvement in member group was more obvious than that of non-member group （ P〈0. 05 ）. Conclusions： The rehabilitation training can help to improve the life satisfaction, ameliorate the patients＂ conditions, and increase the self checking ability. Due to the unique rehabilitation characteristics of the clubhouse model, it has advantages to patients＂ later stage rehabilitation than the normal vocational rehabilitation center in communities.