动态情境小组式社交技能训练对慢性精神分裂症患者康复效果研究

Effect of dynamic situat ional group social skills training on rehabilitation of patients with chronic schi zophrenia

目的探讨动态情境小组式社交技能训练在慢性精神分裂症患者康复中的作用。方法选择2017年10月-2020年9月在广东省佛山市第三人民医院住院的慢性精神分裂症患者100例,分为对照组和观察组各50例,对照组实施常规护理,包括病情观察、生活护理和参加工娱治疗活动。观察组在此基础上实施动态情境小组式社交技能训练,主要包括基本生活技能社交训练、活动交友社交训练、疾病分享交流训练、兴趣爱好交流、与他人共情社交训练和健康教育。干预前后使用阴性症状量表(SANS)、康复疗效评定量表(IPROS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)和自尊量表(SES)测评。结果千预后12周后,观察组患者SADS、SDS、SAS评分低于对照组(P<0.05),IPROS、SBS评分高于对照组(P<0.05)。结论对慢性精神分裂症患者开展动态情境小组式社交技能训练能改善精神症状,改善患者的心理状况,提高社会功能,促进疾病康复。

Objective To explore the role of dynamic situational group social skills training in the rehabilitation of patients with chronic schizophrenia.Methods 100 patients with chronic schizophrenia hospitalized in our hospital from October 2017 to September 2020 were divided into control group and observation group,with 50 cases in each group.Routine nursing was implemented in the control group,including condition observation,life nursing and participation in work and entertainment activities.On this basis,the observation group implemented dynamic situational group social skills training,mainly including social training of basic life skills,social training of making friends,social training of disease sharing and communication,exchange of interests and hobbies,social training of empathy with others and health education.Negative symptom scale(SADS),rehabilitation ffcacy Rating Scale(IPROS),self rating Anxiety Scale(SAS),self rating Depression Scale(SDS)and self--esteem scale(SES)were used before and after intervention.Results After 12 weeks of intervention,the scores of sads,SDS and SAS in the observation group were lower than those in the control group(P<0.05),and the scores of IPROS and SES in the observation group were higher than those in the control group(P<0.05).Conc lusion Dynamic situational group social skills training for patients with chronic schizophrenia can improve mental symptoms,improve patients'psychological status,improve social function and promote disease rehabilitation.