程式化训练在治疗慢性精神分裂症中的作用

目的 探讨程式化训练在慢性精神分裂症患者治疗中的作用.方法 将88例慢性精神分裂症患者随机分成家属参与训练组和对照组各44例,对训练组进行8周的程式化训练,然后全部随访44周.选用阳性与阴性症状量表(PANSS)、自知力与治疗态度问卷(ITAQ)、Morningside康复状态量表(MRSS)进行评估.结果 训练组的PANSS总分、阴性症状分和一般精神病理分在第20、32、44周末均较对照组显著为低(t =2.42～11.19,均P＜0.01),而阳性症状分在44周末两组差异有统计学意义(t=3.19,P＜0.01)；训练组的ITAQ评分在第20、32、44周末均明显高于对照组(t=3.13 ～8.32,均P＜0.01)；训练组MRSS评定中依赖性活动、能力缺乏、社交能力及目前症状和异常行为平均分在20周均明显低于对照组(t=1.67～4.31;2.374＞t ＞1.664,P＜0.05；t＞2.374,P＜0.01).随访1年,训练组复发2例(5.13％)少于对照组5例(14,71％)(x2 =0.87,P＜0.05).结论 程式化训练可明显提高住院慢性精神分裂症的康复效果,明显降低慢性精神分裂症的复发率.

The effect of procedural skill training in the treatment of patients with chronic schizophrenic

Objective To investigate the effect of programed training in the treatment of patients with chronic schizophrenia.Methods 88 patients with chronic schizophrenia were randomly divided into families involved in the training group and control group 44 cases,the training group for eight weeks of programmed training,and then all were followed up for 44 weeks.Positive and negative syndrome scale（PANSS）,insight and treatment attitude questionnaire（ITAQ）,Morningside Rehabilitation Status Scale（MRSS） were selected to assess.Results Total score of PANSS,negative symptoms and general psychopathology in The training group sub-section 20,32,44 weekend were cignificartly lower than in the control group（t=2.42～11.19,all P〈0.01）;positive symptoms points in 44 weekend the difference was significant（t=3.19,P〈0.01）;training group ITAQ score the weekend of the first 20,32,44 were significantly higher（t=3.13～8.32,all P〈0.01）;training group MRSS assessment dependent activities,the lack of capacity,the average social skills and the current symptoms and abnormal behavior in the 20 weeks were significantly lower than the control group.（t=1.67～4.31;2.37〉t〉1.664,P〈0.05;t〉2.374,P〈0.01）;relapse rate after 1 year of follow-up two groups by the χ^2 test（χ^2=0.87;P〈0.05）have significant differences.Conclusion The programmable training can significantly improve the effect of rehabilitation of patients with chronic schizophrenia,reduce the recurrence rate of chronic schizophrenia.