园艺疗法对住院精神分裂症患者社会功能及生活质量的影响

Effect of Horticultural Therapy on Social Function and Quality of Life of Inpatients with Schizophrenia

目的探讨园艺疗法对住院精神分裂症患者社会功能、主观满意度及生活质量的影响,为促进精神分裂症患者康复提供参考。方法选择2020年10月至2021年12月收治于上海交通大学医学院附属精神卫生中心的160例住院精神分裂症患者作为研究对象,将其随机分为对照组(n=80)与观察组(n=80)。对照组接受常规药物及康复治疗,观察组在此基础上结合4个阶段为期12周的园艺疗法。比较两组患者干预前后的社会功能(SSFPI)、生活满意度指数(LSIA)及生活质量(SQLS)评分情况。结果干预6周及12周时,观察组患者的SSFPI总分及3个维度得分均低于对照组,且LSIA总分、SQLS总分及3个维度得分均高于对照组,差异均有统计学意义(P<0.05)。结论园艺疗法有助于提高住院精神分裂症患者的生活质量及满意度,并可促进患者社会功能恢复。

Objective To explore the effect of horticultural therapy on social function,subjective satisfaction and quality of life of inpatients with schizophrenia,aiming to provide a reference for promoting rehabilitation of schizophrenia.Methods A total of 160 inpatients with schizophrenia were selected who were admitted to the Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine from October 2020 to December 2021.They were randomly divided into the control group(n=80)and the observation group(n=80).The control group was treated with routine medication and rehabilitation,whereas the observation group was additionally treated with 12⁃week,4⁃stage horticultural therapy.The scores of the Scale of Social Function for Psychiatric Inpatients(SSFPI),Life Satisfaction Index A(LSIA)and Schizophrenia Quality of Life Scale(SQLS)were compared between the two groups pre⁃and post⁃intervention.Results At 6 and 12 weeks post⁃intervention,the total scores of SSFPI and the scores of its three dimensions were lower in the observation group compared to the control group and the total scores of LSIA and SQLS and the scores of their three dimensions were higher in the observation group compared to the control group,with significant differences(P<0.05).Conclusion Horticultural therapy can improve the quality of life and satisfaction of inpatients with schizophrenia,and promote the recovery of their social function.