感觉运动训练在老年精神分裂症患者中的应用效果

目的 探讨感觉运动训练对老年精神分裂症患者认知水平、自我效能和日常生活能力的干预效果.方法 选择2020年1月—12月在无锡市某精神卫生中心老年精神科住院的患者作为研究对象,将60例患者以住院号尾号分组,双号为试验组(30例),单号为对照组(30例),两组住院期间均予以常规训练和健康教育,试验组在对照组基础上进行感觉运...

Effect of sensorimotor training in elderly patients with schizophrenia

Objective To explore the intervention effect of sensorimotor training on self-efficacy and activity of daily living（ADL） of elderly patients with schizophrenia. Methods 60 patients were divided into 2 groups according to their admission number. Patients whose last admission number was even number were assigned to the experimental group（n=30）,and the patients with odd number were assigned to the control group（n=30）. The experimental group received 10-week and 30-time sensorimotor training including 4 training modules based on the routine training and health education,whereas the control group received routine training and health education. Mini-mental State Examination（MMSE） was used to assess cognitive level of patients;the self-efficacy of patients was evaluated by General Self-efficacy Scale（GSES）;Nurses’ Observation Scale for Inpatient Evaluation（NOSIE） was adopted to evaluate the condition and behavioral disorder of patients;Modified Barthel Index（MBI） was used to assess the ability of daily living of patients. Those scales were all used before and after the intervention. Results 10 weeks after the intervention,the scores of GSES in the experimental group were higher than those in the control group,among which the scores of orientation,memory,attention and calculation were significantly higher than those before the intervention. The factor scores of social ability,social interest and personal tidiness in NOSIE were significantly higher than those in the control group,while the factor scores of irritability,psychotic manifestations,withdrawal and depression in NOSIE were significantly lower than those in the control group. Scores of MBI were significantly higher than those in the control group except for defecation factor（P<0.05）. Conclusion The sensorimotor training can improve the level of self-efficacy and the ability of ADL in elderly patients with schizophrenia.