基于阳光心园的康复训练课程对社区精神分裂症患者康复疗效及其生命质量的影响

Institutional-based rehabilitation training improves rehabilitation and quality of life for patients with schizophrenia in community

目的 探讨基于阳光心园的康复训练课程对社区精神分裂症患者康复及其生命质量的影响.方法 采用随机数字表法随机将符合入组标准的168例精神分裂症患者分为干预组、对照组,分别为83例和85例.干预组进入阳光心园接受康复训练课程和家庭教育,为期6个月,对照组接受常规服务.两组均在干预前后采用自知力与治疗态度问卷（ITAQ）、阳性与阴性症状量表（PANSS）、个人和社会功能量表（PSP）和精神分裂症患者生命质量量表（SQLS）进行评估.结果 干预前,两组的ITAQ、PANSS、PSP和SQLS量表评分比较差异无统计学意义（分别t=0.59,P=0.56;t=1.21,P=0.23;t=1.08,P=0.28;t=-1.41,P=0.16）;干预后,干预组各项指标明显优于对照组,两组间差异具有统计学意义（分别t =3.07,P=0.03;t=-2.25,P=0.03;t=2.60,P=0.01;t=-3.24,P＜0.01）.结论 社区康复课程对促进社区精神分裂症患者的康复、提高其生命质量有较好作用.

Objective To evaluate the effects of institutional-based rehabilitation training on the rehabilitation and quality of life for patients with schizophrenia in community.Methods An institutionalbased rehabilitation program for schizophrenia patients ＆quot;Sunny Garden＆quot; was implemented by Shanghai Mental Health Center.One hundred and sixty eight patients with schizophrenia were enrolled and randomly assigned into training group （n =83） and control group （n =85）;8 patients dropped off,there were 80 cases in each group by the end of the study.Patients in training group received institutional-based training for 6 months,including rehabilitation training courses and family education;while patients in control group received conventional management in community.Insight and Treatment Attitude Questionnaire （ITAQ）,Positive and negative symptom scale （PANSS）,Personal and Social Performance scale （PSP） and Chinese Version of the Schizophrenia Quality of Life Scale （SQLS） were applied for assessment before and after study in both groups.Results There were no significant differences in ITAQ,PANSS,PSP and SQLS between two groups before intervention （t =0.59,P =0.56;t =1.21,P =0.23;t =1.08,P =0.28;t=-1.41,P=0.16,respectively）.After intervention,these indicators in the training group were significantly superior to those in control group （t =3.07,P =0.03;t =-2.25,P =0.03;t =2.60,P =0.01;t =-3.24,P 〈 0.01,respectively）.Conclusion The institutional-based rehabilitation training program can effectively promote the rehabilitation of patients with schizophrenia in community and improve their quality of life.