慢性单纯型精神分裂症患者作业治疗的疗效观察

Observation about efficacy in patients with chronic simple schizophrenia treatment

目的观察作业治疗对慢性单纯型精神分裂症患者的影响。方法将长期住院的60例恢复期慢性单纯型精神分裂症患者随机分为观察组和对照组,每组各30例。对照组采用常规治疗,观察组除常规治疗外给予作业治疗,实施治疗一年后比较两组患者的症状改善情况。结果治疗一年后,观察组患者简明精神病量表(BPRS)评价中缺乏活力项目因子分,阴性症状量表(SANS)评分及多伦多述情障碍量表(TAS-26)评分的分值明显低于对照组,各差异均有统计学意义(P<0.05)。结论采用作业疗法可显著改善单纯型精神分裂症患者的阴性症状及述情障碍。

Objective To observe the impact of occupational therapy to patients with chronic simple schizophrenia. Methods 60 chronic schizophrenic patients, who were hospitalized for a long time and were being simple recovery period, were randomly divided into observation group and control group, with 30 cases in each group. Control group were given conventional treatment, observation group were given occupational therapy in addition to conventional treatment, one year after treatment, symptomatic improvement of patients were analyzed between two groups. Results After one year of treatment, in Brief Psychiatric Rating Scale （BPRS） of observation group, scores of energy project factors were lacked, and Negative Syndrome Scale （SANS） score and the Toronto Alexithymia Scale （TAS-26） scores were significantly lower than those in control group, the difference was statistically significant （P〈0.05）. Conclusion The occupational therapy can significantly improve the negative symptoms and alexithymia in simple schizophrenia patients.