团队生活技能训练模式在初发精神分裂症患者康复期的应用效果观察

Observation on the Application Effect of Team Life Skills Training Model in the Rehabilitation Period of Patients with First-episode Schizophrenia

目的:观察团队生活技能训练(SST)模式在初发精神分裂症患者康复期的应用效果。方法:选取2020年1月—2022年9月许昌市建安医院收治的60例初发精神分裂症康复期患者作为研究对象,采用随机数表法分为实验组和对照组,每组各30例。对照组采用常规心理健康教育干预,实验组采用团队SST模式进行干预。观察比较两组患者干预前后阳性与阴性症状量表(PANSS)、症状自评量表(SCL-90)、及社会功能评定量表(SSPI)的评分情况。结果:干预后,实验组PANSS各维度评分较对照组高,差异有统计学意义(t=2.480、2.193、3.958,P<0.05);干预后,实验组SCL-90各维度评分较对照组高,差异有统计学意义(t=3.840、7.752、7.530、3.623、6.530、6.003、5.308、2.364,P<0.05);干预后,实验组SSPI各维度评分较对照组高,差异有统计学意义(t=5.128、6.571、7.272,P<0.05)。结论:对于初发精神分裂症康复期患者而言,团队SST模式干预效果较为显著,可有效改善患者执行能力和社会功能,提高患者智力水平,减轻患者精神分裂症状,有利于促进患者康复。

Objective:To observe the effectiveness of the team life skills training(SST)model in the rehabilitation period of pa-tients with first-episode schizophrenia.Methods:60 cases of first-episode schizophrenia recovery patients admitted to the hospital from January 2020 to September 2022 were selected as the study subjects,and were divided into experimental group and control group by using the random number table method,with 30 cases in each group.The control group used conventional mental health education intervention,and the experimental group used the team SST model for intervention.The scores of Positive and Negative Symptom Scale(PANSS),Symptom Self-assessment Scale(SCL-90),and Social Functioning Scale(SSPI)before and after the inter-vention were observed and compared between the two groups.Results:After the intervention,the experimental group had higher PANSS scores in all dimensions than the control group,and the difference was statistically significant(t=2.480,2.193,3.958,P<0.05).After the intervention,the SCL-90 scores of each dimension were higher in the experimental group than in the control group,and the difference was statistically significant(t=3.840,7.752,7.530,3.623,6.530,6.003,5.308,2.364,P<0.05).After the inter-vention,the scores of SSPI dimensions were higher in the experimental group than in the control group,and the difference was sta-tistically significant(t=5.128,6.571,7.272,P<0.05).Conclusion:For patients in the recovery period of first-episode schizophre-nia,the effect of team SST model intervention is more significant,which can effectively improve the patients’executive ability and social functioning,improve the patients’intellectual level,reduce the patients’schizophrenic symptoms,and is conducive to pro-moting the patients’recovery.