个体化康复治疗对精神分裂症患者的疗效分析

Analysis of Therapeutic Effect of Individualized Rehabilitation Therapy on Patients With Schizophrenia

目的研究在精神分裂症患者中运用个体化康复治疗的价值与效果。方法选取2022年3月—2023年10月南通市精神病院诊治的195例精神分裂症患者。依据治疗方法不同进行分组,参照组(n=97)应用常规治疗,试验组(n=98)在常规治疗基础上联合个体化康复治疗。比较2组患者阳性和阴性症状量表(positive and negative syndrome scale,PANSS)评分、功能独立性量表(function independent measure,FIM)、健康调查简表(the MOS item short fromhealth survey,SF-36)、巴氏指数(Barthel index,BI)、精神科护理评估量表(nursing observation scale for inpatient evaluation,NOSIE)及对治疗的满意度。结果试验组阳性症状评分为(10.29±1.57)分、阴性症状评分为(13.31±2.17)分、一般精神症状评分为(18.43±2.21)分,均低于参照组的(13.35±2.04)分、(16.85±2.46)分、(23.73±2.95)分(P<0.05);试验组FIM评分为(112.47±9.56)分、SF-36评分为(87.41±5.36)分及BI指数为(90.35±5.34)分,均高于参照组的(94.37±7.58)分、(79.58±4.15)分、(83.47±4.83)分(P<0.05);试验组在NOSIE评分中社会功能(34.58±4.74)分、个人整洁(24.63±2.74)分,均高于参照组的(29.64±3.82)分、(19.53±1.92)分(P<0.05);试验组激惹(9.57±1.89)分、迟缓(5.31±0.86)分、精神病表现(4.27±0.57)分及抑郁(4.61±0.74)分,低于参照组的(11.24±2.32)分、(7.54±1.29)分、(6.57±0.69)分、(7.38±1.16)分(P<0.05);试验组对治疗的总满意度为97.96%,高于参照组的90.72%,差异有统计学意义(P<0.05)。结论精神分裂症患者在个体化康复治疗下能有效改善其症状表现,可提高其自理能力,使患者更加独立,全面提升其生活质量,有助于提升患者及家属对治疗的满意度。

Objective To study the value and effect of individualized rehabilitation therapy in patients with schizophrenia.Methods A total of 195 schizophrenic patients diagnosed and treated in Nantong Psychiatric Hospital from March 2022 to October 2023 were selected.The groups were divided according to different treatment methods.The reference group(n=97)received conventional treatment,and the experimental group(n=98)received combined individualized rehabilitation treatment on the basis of conventional treatment.Positive and negative syndrome scale(PANSS)score,function independent measure(FIM),the MOS item short fromhealth survey(SF-36),Barthel index(BI),nursing observation scale for inpatient evaluation(NOSIE)and satisfaction with treatment were compared in 2 groups.Results The scores of positive symptom,negative symptom and general psychiatric symptom in experimental group were(10.29±1.57)points,(13.31±2.17)points and(18.43±2.21)points,all of which were lower than(13.35±2.04)points,(16.85±2.46)points and(23.73±2.95)points in the reference group(P<0.05).FIM score,SF-36 score and BI index of experimental group were(112.47±9.56)points,(87.41±5.36)points and(90.35±5.34)points,which were higher than(94.37±7.58)points,(79.58±4.15)points and(83.47±4.83)points of reference group(P<0.05).The NOSIE scores of the experimental group were social function(34.58±4.74)points,personal cleanliness(24.63±2.74)points,which were higher than(29.64±3.82)points and(19.53±1.92)points of the reference group(P<0.05).Irritability(9.57±1.89)points,retardation(5.31±0.86)points,psychosis(4.27±0.57)points and depression(4.61±0.74)points in experimental groups,which were lower than(11.24±2.32)points,(7.54±1.29)points,(6.57±0.69)points,(7.38±1.16)points of the reference group(P<0.05).The total satisfaction of the experimental group was 97.96%,higher than 90.72%of the reference group,and the difference was statistically significant(P<0.05).Conclusion Individual rehabilitation therapy can effectively improve the symptoms of schizophrenia patients,improve their self-care ability,make patients more independent,improve their quality of life,and help to improve the satisfaction of patients and their families.