摘要
目的探讨药物自我处置和症状自我监控两种技能训练对预防社区精神分裂症患者复发和康复其精神残疾的作用。方法将 133例出院后的精神分裂症患者随机分成技能训练组 (以下简称训练组 ,6 6例 )和对照组 ( 6 7例 ) ,对训练组患者分组进行技能训练 ,共 2 0周 ;两组均有 6 4例完成 1年随访。以简明精神病评定量表 (BPRS)、社会功能评定量表 (SSSI)和自制的监护人及患者药物依从性评分表进行评定。结果训练组的监护人与患者药物依从性评分、复发率、再住院率和精神残疾程度减轻有效率皆分别明显优于对照组 (P <0 .0 1)。结论两种技能训练对预防社区精神分裂症患者复发和康复其精神残疾具有重要意义。
ObjectiveTo explore the efficacy of medication management and symptom management skills-training for preventing schizophrenics' relapse and rehabilitating their mental handicaps.Methods133 subjects were randomly assigned to the skills training group and the control group. Both groups received the same treatment, but the skills training courses were given to the skills training group for the first twenty weeks. One-year follow-up was carried out. All subjects were evaluated with standard rating scales and self-complied drug treatment compliance rating scale. Results128 subjects had completed the research. The skills training group demonstrated clinical results significantly superior to those of the control group on overall improvement according to the total score of the drug treatment compliance rating scale, the rate of relapse, the rate of re-hospitalization and the rate of effectiveness of minimizing handicap(147.9±53.2 vs. 90.4±16.3, 146.1±20.0 vs. 91.7±16.7;12.5% vs. 55%; 3.2% vs. 39.6%;86.5% vs. 26.5%, P<0.01).Conclusions The two kinds of skills training are effective in both preventing the relapse of schizophrenics in the community and minimizing their handicap.
出处
《中国康复理论与实践》
CSCD
2002年第3期178-180,共3页
Chinese Journal of Rehabilitation Theory and Practice
基金
北京重点扶持学科基金和首都医学发展科研基金(ZD1 9981 6)
关键词
精神分裂症
技能训练
复发
精神残疾
康复
schizophrenia
skills-training
relapse
mental handicap
rehabilitation
