激励法对社区慢性精神分裂症患者社交技能的影响

目的：探讨激励法对社区慢性精神分裂症患者社交技能的康复效果.方法：将80例社区慢性精神分裂症患者随机分为观察组和对照组各40例；2组均参加常规社交技能训练,观察组另外加入激励法训练,共12周.对2组采用阴性和阳性症状量表（PANSS）、社会功能缺陷量表（SDSS）进行评定,并进行上课率、作业完成率、知识掌握率评定.结果：训练结束3个月后,2组的SDSS及PANSS评分均较治疗前显著降低,且观察组更低于对照组（均P＜0.01）.观察组上课率、作业完成率、知识掌握率也明显高于对照组（均P＜0.01）.结论：激励法能充分调动患者的主观能动性,提高训练效果,明显改善精神症状和社会功能.

Effects of incentive method on social skills of schizophrenia patients in community

Objective：To explore the effects of incentive method on social skills of chronic schizophrenic patients in the community.Methods：All 80 cases of community chronic schizophrenia patients were randomly divided into control group and observation group （n=40 each）.Both groups participated in conventional social skill training,and observation group was given incentive method additionally for 12 weeks.Negative and positive symptoms （PANSS） and social disability screening schedule （SDSS） were used to assess both groups,and the class rate,homework completion rate,and knowledge rate were evaluated.Results：Three months after the training,SDSS and PANSS scores in both groups were decreased,and more obviously in observation group （all P＜0.05）.The class rate,homework completion rate and knowledge rate in observation group were higher than in control group （all P＜0.05）.Conclusion：Incentive method can fully mobilize the patient＇s subjective initiative,improve the training effect,obviously improve the negative symptoms of schizophrenia and social function.