慢性精神分裂症患者康复行为训练的效果观察

Therapeutic Effects of Rehabilitation Behavioral Training in the Treatment of Chronic Schizophrenia

为探讨对慢性精神分裂症患者行康复行为训练的效果 ,对 6 0例慢性精神分裂症患者进行日常生活、文体娱乐活动、社会技能、健康知识教育等行为训练 ,并对训练前后的简明精神病量表 (BPRS)、社会功能缺陷筛选量表 (SDSS)、精神病阴性症状量表 (SANS)、精神病阳性症状量表 (SAPS)及护士观察量表 (NOSIE)各因子分进行评定、对照分析。结果行为训练前后 BPRS总分及各因子分差异均有显著性 (均 P<0 .0 1) ;SDSS、SANS评分差异有极显著性和显著性 (P<0 .0 1和 P<0 .0 5 ) ;SAPS评分无显著性 ;NOSIE除精神病表现外其它各项评分差异有极显著性 (均 P<0 .0 1)。提示行为训练对改善病情 ,提高个人生活自理能力及社会功能等均有良好的促进作用。

In order to investigate the therapeutic effects of rehabilitation behavioral training in the treatment of chronic schizophrenia, 60 cases of schizophrenia underwent the behavioral training including daily living, cultural physical entertainment activity, social skills, healthy knowledge education and so on. The BPRS, SDSS, SANS, SAPS and NOSIE scores for each factor before and after behavioral training were assessed and comparatively analyzed. The results showed that there was significant difference in the total scores of BPRS and the scores for each factor between pre and post training. There was markedly significant difference or significant difference in SDSS and SANS scores respectively. There was no significant difference in SAPS scores. There was significant difference in the items of NOSIE except mental manifestations. It was suggested that behavioral training could improve disease conditions and social function and elevate the individual living capacity.