综合性康复治疗对慢性精神病患者的认知功能及生存质量的影响

Effects of Comprehensive Rehabilitation Therapy on Cognitive Function and Quality of Life in Patients with Chronic Mental Illness

目的探究综合性康复疗法对慢性精神病的治疗有效性及生存质量的影响。方法随机选取该院精神康复科2014年1月—2016年12月收治的150例慢性精神病患者,将其均分为两组:治疗组采用药物联合康复治疗,对照组采用药物治疗。通过精神病评定量表(BPRS)、住院精神患者康复疗效评定量表(IPROS)和生存质量评定综合问卷(CQOLI-74)对患者治疗前后的康复疗效和生存质量进行评定。结果治疗8个月后,两组患者的评定总分与治疗前相比均显著下降,疗效显著;治疗组的BPRS评分和IPROS评分为[(20.4±1.8)分、(36.4±5.1)分],均显著高于对照组的BPRS评分(21.5±1.7)分和IPROS评分(40.7±9.8)分,且治疗组的认知功能和康复疗效均显著优于对照组,对比两组治疗后的生存质量,治疗组要明显高于对照组[(210.08±4.1)分vs.(203.84±6.2)分],差异有统计学意义(P<0.05)。结论综合性康复治疗对精神病患者认知功能恢复具有一定的促进作用,康复疗效显著,具有临床应用价值。

Objective To explore the effect of comprehensive rehabilitation therapy on the treatment effectiveness and quality of life of patients with chronic psychosis.Methods From January 2014 to December 2016 150 patients with chronic psychosis in our hospital were random selection and divided into two groups:the treatment group was treated with medicine combined with rehabilitation therapy,and the control group was treated with only medicine.The rehabilitation efficacy and quality of life were evaluated by Mallamund Sandy psychiatric scale(BPRS),inpatient psychiatric rehabilitation efficacy scale(IPROS)and quality of life questionnaire(CQOLI-74)before and after treatment.Results After 8 months’treatment,total score of patients were significantly decreased;the BPRS and IPROS score of the treatment group were[(20.4±1.8)points and(36.4±5.1)points],which were significantly higher than those of the control group[(21.5±1.7)points,(40.7±9.8)points],and the treatment group curative effect,cognitive function and rehabilitation efficacy were significantly better than the control group.Compared with the quality of life of two groups after treatment,the treatment group was significantly higher than the control group[(210.08±4.1)points vs.(203.84±6.2)points],and the difference was statistically significant(P<0.05).Conclusion Comprehensive rehabilitation therapy can promote the recovery of cognitive function in patients with psychosis,and the rehabilitation effect is significant,which has clinical application value.