人类作业模式下的作业治疗在住院重性精神疾病康复中的应用

Application of Occupational Therapy under MOHO in the Rehabilitation of Inpatients with Serious Mental Illness

目的:探讨人类作业模式(MOHO)下的作业治疗对重性精神疾病康复治疗的应用效果。方法:选取40例住院重性精神疾病患者,分为观察组和对照组,对照组给予常规精神病护理;观察组应用MOHO-ST量表评估患者作业能力信息,开展作业治疗辅以代币治疗。比较两组患者治疗前、后,阴性症状量表(SANS)、护士观察量表(NOSIE-30)、日常生活能力量表(ADL)评分变化。结果:治疗后观察组SANS评分下降且分值低于对照组;ADL评分下降;NOSIE-30总积极因素得分高于对照组,总消极因素得分低于对照组,差异有统计学意义(P<0.05)。结论:MOHO下的作业治疗有助于改善住院重性精神疾病患者的退缩、孤僻、懒散等症状,提高生活自理能力,具有较高的临床应用价值。

Objective:To examine the effect of occupational therapy under MOHO mode for the rehabilitation of persons with severe mental illness.Methods:40 hospitalized patients with severe mental illness were divided into the observation group and the control group.The control group was given routine mental care.In the observation group,MOHO-ST was used to evaluate the information of patients′working ability,and occupational therapy was supplemented by token economy treatment.The changes in the scores of SANS,NOSIE-30 and ADL before and after treatment were compared between the two groups.Results:After treatment,the SANS score of the observation group decreased and the score was lower than that of the control group;ADL score of the observation group decreased,the total positive factor score of nosie-30 was higher than that of the control group,and the total negative factor score was lower than that of the control group.The difference was statistically significant(P<0.05).Conclusion:The occupational therapy under MOHO is helpful to improve the withdrawal,isolation and laziness of patients with serious mental diseases,and promote their self-care ability.Thus,the therapy has high clinical application value.