社区日间康复训练对慢性精神分裂症患者的康复效果评价

Effects of Day Rehabilitation Training in Community for the Patients with Chronic Schizophrenics

目的评价社区日间康复训练对慢性精神分裂症患者的康复疗效。方法 2012年8月,采用随机、对照、开放性的临床试验设计,入选精神分裂症患者80例,随机分为两组,即干预组40例和对照组40例。干预组患者接受社区日间康复训练6个月,对照组患者接受常规随访治疗。采用阳性与阴性症状量表(PANSS)、Morningside康复状态量表(MRSS)、自知力与治疗态度问卷(ITAQ)进行评分,比较两组患者干预前、后的康复疗效。结果实施社区日间康复训练6个月后,干预组患者的PANSS总分、阴性量表得分较对照组下降,差异有统计学意义(P<0.05);MRSS总分及各因子得分均较对照组下降,差异有统计学意义(P<0.05);ITAQ总分高于对照组,差异有统计学意义(P<0.05)。结论社区日间康复训练能改善慢性精神分裂症患者的症状、提高其自知力,促进其康复。

Objective To investigate the curative effects of day rehabilitation community for the patients with chronic schizophrenics. Methods By a randomized,controlled,and open clinical trial design,80 patients with chronic schizophrenics were selected and divided into two groups：the intervention group of 40 patients receiving 6-month community daily rehabilitation and the control group of 40 patients receiving routine follow -up treatment. Positive and negative syndrome scale （ PANSS ）, Morningside rehabilitation status scale（MRSS）,Insight and treatment attitudes questionnaire（ITAQ）were used to assess the curative effects of the two groups before and after intervention. Results The total score of PANSS and negative syndrome scale score of patients in intervention group decreased obviously and the difference between the two groups was statistically significant （P﹤0. 05）;the total score of MRSS and the score of each factor in the intervention group decreased significantly than those in the control group and it was significant（P﹤0. 05）;ITAQ score in intervention group was significantly higher than that in control group（P﹤0. 05）. Conclusion Day rehabilitation training in community can help improve the symptoms and the insight of the patients with chronic schizophrenics and promote their rehabilitation.