开放式管理及社会技能训练对慢性精神分裂症患者的疗效

目的:探讨开放式管理及社会技能训练对慢性精神分裂症康复的效果。方法:将80例慢性精神分裂症患者随机分为2组各40例。对照组患者实行半开放管理。训练组患者实行全开放管理,并参加社会技能训练。用阴性和阳性症状(PANSS)、社会功能缺陷量表(SDSS)、日常生活能力量表(ADL)在入组前及训练结束后对2组患者同步测评并比较。结果:入组前2组患者PANSS、SDSS、ADL评分差异无统计学意义,训练结束后训练组SDSS、ADL评分显著低于对照组(P<0.01),PANSS总分明显低于对照组(P<0.01),其中阴性症状及一般病理评分显著低于对照组(P<0.01)。结论:开放式管理及社会技能训练能明显改善慢性精神分裂症患者的阴性症状、社会功能及生活自理能力,提高生活质量。

Effectiveness of open management and rehabilitation training on patients with chronic schizophrenia

Objective:To study the effectiveness of open management and rehabilitation training on patients with chronic schizophrenia.Methods: 80 chronic schizophrenia patients were divided into two groups with 40 cases in every group.The patients in control group received half-open management,while those in the training group were given totally open management and rehabilitation training.They were accessed with positive and negative syndrome scale(PANSS),activity of daily living scale(ADL),and social disability screening schedule(SDSS) before and after the treatment.Results:No significant difference in PANSS,SDSS and ADL was found between two groups before the training,but SDSS and ADL scores in training group were significantly lower than in control group after training(P<0.01),and PANSS scores in training group were significantly lower than in control group(P<0.01).The negative syndrome scores and general pathology scores in training group were significantly lower than those in control group(P<0.01).Conclusion:Open management and rehabilitation training can improve negative symptoms,social function,self-care ability,and the quality of life of the patients with chronic schizophrenia.