精神康复群组管理对慢性精神分裂症社交孤独影响的研究

Study on the Effects of Mental Rehabilitation Group Management on Social Isolation of Chronic Schizophrenia

目的:探讨精神康复群组管理模式对改善慢性精神分裂症患者社交孤独的有效性。方法:将96例慢性精神分裂症患者按随机数字表法分为干预组和对照组各48例。干预组在常规治疗、康复护理的基础上接受为期8周的精神康复群组管理活动。在干预前、后分别用情绪-社交孤独感问卷(ESLI)、社会功能评定量表(SSPI)进行评价。结果:干预组ESLI总分(28. 6±12. 1)及情绪孤立(7. 3±3. 4)、情绪孤独(6. 1±3. 2)、社交孤立(6. 4±4. 2)、社交孤独(5. 1±3. 2)的评分低于对照组(P <0. 05)。SSPI总分(7. 53±0. 41)低于对照组,2组各分值比较差异有统计学意义(P <0. 05)。结论:精神康复群组管理模式能有效地改善慢性精神分裂症患者的社交孤独和社会功能缺陷,提高患者的人际交往能力和日常生活技能。

[Objective]To explore the effectiveness of mental rehabilitation group management model in improving social isolation in patients w ith chronic schizophrenia. [Method]96 patients w ith chronic schizophrenia w ere divided into the intervention group and the control group by the random number table method. The intervention group received 8 w eeks of mental rehabilitation group management activities on the basis of routine treatment and rehabilitation nursing. Before and after the intervention,the emotion-social loneliness questionnaire and social function rating scale w ere used to evaluate.[Result]After 8 weeks,the ESLI total score（ 28. 6 ± 12. 1） and emotional isolation（ 7. 3 ± 3. 4）,emotional loneliness（ 6. 1 ± 3. 2）,social isolation（ 6. 4 ± 4. 2） and social loneliness（ 5. 1 ± 3. 2） of intervention group w ere low er than those of the control group（ P〈0. 05）. The total score of SSPI w as low er than that of the control group,and the difference betw een the tw o groups w as statistically significant（ P〈0. 05）. [Conclusion] The mental rehabilitation group management model can effectively improve the social isolation and social dysfunction of patients w ith chronic schizophrenia,and improve their interpersonal skills and daily life skills.