系统康复治疗对慢性精神分裂症住院患者认知水平及满意度的影响

Effects of systematic rehabilitation therapy on cognitive level and satisfaction of inpatients with chronic schizophrenia

目的:观察系统康复治疗对慢性精神分裂症住院患者的认知水平和满意度的影响。方法:以120例慢性精神分裂症住院患者为研究对象,随机分为观察组和对照组,每组60例。对照组患者进行常规精神疾病专科治疗,观察组患者采用系统康复疗法,比较两组患者治疗后的认知水平、记忆能力和满意度。结果:组间威斯康辛卡片分类式测验(WCST)评分比较,观察组患者正确的百分数、持续错误数、随机错误数、分类数、总应答数得分均优于对照组(P<0.05);两组患者的记忆商数、联想学习、人像特点记忆、图像自由回忆及指向记忆指标比较,观察组患者均优于对照组(P<0.05);观察组患者满意度为93.3%,高于对照组的71.6%(χ2=9.755,P=0.030)。结论:对慢性精神分裂症住院患者运用系统康复法进行治疗,能够提高患者的认知水平,改善记忆功能,提高患者满意度,值得推广应用。

Objective： To observe the effects of systematic rehabilitation therapy on the cognitive level and satisfaction of inpatients with chronic schizophrenia. Methods： 120 inpatients with chronic schizophrenia were selected as the research objects,and were divided into observation group（n=60） and control group（n=60）. The control group underwent routine psychiatric specialist treatment,whereas the study group was treated with systematic rehabilitation therapy. The cognitive level,memory capacity and satisfaction of patients in the two groups were analyzed and compared. Results： Comparison of the WCST scores between the two groups showed that patients in the observation group were superior to those in the control group in terms of the percentage of correct answers,number of persistent errors and random errors,number of categories,and total number of responses（P〈0.05）; the memory quotient,associative learning,portrait feature memory,free recall of image and directed memory index in the observation group were better than those in the control group（P〈0.05）; the satisfaction rate in the observation group（93.33 %） was higher than that in the control group（71.6 %）（χ^2= 9. 755,P = 0. 030）. Conclusion： For inpatients with chronic schizophrenia,systematic rehabilitation therapy can improve their cognitive level,memory function and satisfaction,which is therefore of significant value to be popularized in clinical applications.