定期技能康复训练对慢性精神分裂症患者生活质量的影响

Effect of Regular Skill Rehabilitation Training on Quality of Life of Patients with Chronic Schizophrenia

目的:探讨定期技能康复训练对慢性精神分裂症患者生活质量的影响。方法:将100例经过治疗出院后痊愈患者随机分为干预组和对照组,每组50例。所有患者住院期间按精神分裂症诊疗常规进行治疗,出院后对照组门诊随诊,干预组定期技能康复训练,干预1年。用精神分裂症患者生活质量量表(SQLS)及阳性与阴性症状量表(PANSS)评定生活质量和病情的变化。结果:两组干预后评分与干预前评分存在显著差异(F=23.679,63.230,80.565,3.271;P<0.05),干预与时间有交互效应(F=15.548,23.173,21.094,17.053;P<0.001)且存在组间差别(F=27.686,16.475,28.541,27.666;P<0.001)。3个月末和6个月末PANSS和SQLS干预组与对照组差异显著(t=-4.731,-3.891,-4.484,-4.027,-5.732,-4.348,-4.048,-2.276;P<0.001)。结论:定期技能康复训练有助于提高精神分裂症患者生活质量,有利于病情控制。

Objective：To explore the effect of regular skills rehabilitation training on the quality of life of patients with chronic schizophrenia.Methods：100 patients were randomly divided into intervention group and control group, 50 cases in each group.All patients were treated according to the routine treatment of schizophrenia treatment.For 1 year,the control group was followed up after discharge;The intervention group took regular skills rehabilitation training.Quality of life and the change of condition of patients with schizophrenia patients quality of life scale（SQLS） and positive and negative symptom scale（PANSS）was used.Results：There were significant differences between be-fore and after intervention（F group=23.679,63.230,80.565,3.271;P 〈0.05）,intervention and time had interaction （F interactive= 1 5.548,23.1 73,21.094,1 7.053;P 〈 0.001 ）and there were group difference（F Group = 27.686, 1 6.475,28.541,27.666;P 〈0.001）.Compared with the same period,the research group of the reduction of the magni-tude of each scale were greater than the control group （t =-4.731,-3.891,-4.484,-4.027,-5.732,-4.348,-4.048,-2.276;P 〈0.001 ）.Conclusion：Regular skills rehabilitation training can improve the quality of life of patients with schizophrenia,which is conducive to the control of the disease.