摘要
目的探讨重返社区技能训练对延缓首发精神分裂症患者社会功能缺陷及复发的作用。方法将100例首发精神分裂症患者随机分为观察组50例和对照组50例。对照组进行常规治疗和护理，观察组在此基础上进行重返社区技能训练，用简明精神病量表（BPRS）评价患者病情严重程度；用社会功能缺陷筛选量表（SDSS）评价患者出院1年后的各种社会功能缺陷情况，并比较两组患者出院后的服药依从情况及复发情况。结果训练后及出院6、12个月时观察组患者BPRS评分明显低于对照组（P〈o．01）。服药依从性观察组明显优于对照组（P〈0．01）。1年后两组间SDSS第1、5、6、7、8、9、10项比较差异有显著性或非常显著性意义。复发率观察组明显低于对照组（P〈0．01）。结论重返社区技能训练能减轻首发精神分裂症患者的病情严重程度，有效地减少患者的疾病复发及社会功能缺陷。
Objective To study the effects of craftsmanship training for community reentry to prevent the first episode schizophrenics from having social function disability, and to decrease the relapse rate. Methods 100 first episode schizophrenics were randomly divided into observation group （50 cases） and control group （50 cases） . In the control group, routine nursing care was carried out, while in the observation group, based on routine nursing care, craftsmanship training for community reentry was given. Then the severe degree of the condition to the disease was measured with BPRS. After a year, the social function disability was measured with SDSS. The compliance of taking medicine and the relapse rates of the two groups were compared. Results after the training and in the 6th and 12 th month after being discharged from hospital, the score of the BRPS of the observation group was lower than the control group （P 〈 0. 01 ） . The compliance of taking medicine of the observation group was obviously higher than the control group （P 〈 0.01） . After a year, the 1, 5, 6, 7, 8, 9, 10 factorial score, the total score of the SDSS and the relapse rate of the observation group were lower than those of the control group and the differences between these two groups were significant （X^2 = 7.61, P 〈 0. 01 ） . Conclusion Craftsmanship training for community reentry could decrease the state of an illness of first episode schizophrenics. It can also delay the relapse of schizophrenics and decrease social function disability. The social benefit is significant and it＇s worth spreading.
出处
《国际护理学杂志》
2009年第7期942-945,共4页
international journal of nursing
关键词
首发精神分裂症
重返社区技能训练
Schizophrenia
Craftsmanship training for community reentry
