个体化康复治疗对精神分裂症患者的临床有效性研究

Clinical Effectiveness of Individualized Rehabilitation Therapy for Patients with Schizophrenia

目的 评估精神分裂症行个体化康复治疗的效果。方法 随机选取2019年12月—2021年12月厦门市仙岳医院精神科收治的80例精神分裂症患者为研究对象,根据入院时间分为康复组和普通组,每组40例,康复组行个体化康复治疗,普通组行普通治疗。观察精神病症状,评估预后情况,统计依从性。结果 治疗前经3个维度评估精神分裂症症状,两组差异无统计学意义(t=0.751、1.055、0.366,P>0.05);治疗后经3个维度评估精神分裂症症状,康复组评分低于普通组,差异有统计学意义(t=4.138、4.724、5.312,P<0.05)。治疗前两组PANSS、SDSS评分比较,差异无统计学意义(t=0.478、0.116,P>0.05);治疗后康复组PANSS评分低于普通组,康复组SDSS评分高于普通组,差异有统计学意义(t=6.448、3.572,P<0.05)。康复组依从性达到92.50%,高于比普通组的67.50%,差异有统计学意义(χ^(2)=7.813,P<0.05)。结论 个体化康复治疗可提高依从性,减轻精神分裂症相关症状,恢复其认知以及社会功能。

Objective To evaluate the effect of individualized rehabilitation therapy for schizophrenia.Methods 80 patients with schizophrenia admitted to the Department of Psychiatry at Xianyue Hospital in Xiamen from December 2019 to December 2021 were selected as the research objects.They were divided into a rehabilitation group and a general group based on their admission time,with 40 patients in each group.The rehabilitation group received individualized rehabilitation treatment,while the general group received general treatment.Observe symptoms of mental illness,evaluate prognosis,and calculate compliance.Results Before treatment,symptoms of schizophrenia were evaluated through three dimensions,and the difference was not statistically significant between the two groups(t=0.751,1.055,0.366,P>0.05);after treatment,the symptoms of schizophrenia were evaluated in three dimensions,and the rehabilitation group scored lower than the general group,and the difference was statistically significant(t=4.138,4.724,5.312,P<0.05).There was no statistically significant difference in PANSS and SDSS scores between the two groups before treatment(t=0.478,0.116,P>0.05);after treatment,the PANSS score of the rehabilitation group was lower than that of the ordinary group,while the SDSS score of the rehabilitation group was higher than that of the ordinary group,and the difference was statistically significant(t=6.448,3.572,P<0.05).The compliance of the rehabilitation group reached 92.50%,which was higher than 67.50%of the ordinary group,and the difference was statistically significant(χ^(2)=7.813,P<0.05).Conclusion Individualized rehabilitation therapy can improve compliance,relieve schizophreniarelated symptoms,and restore cognitive and social functions.