摘要
目的:探讨小组式"农疗"改善慢性精神分裂症患者社会功能的疗效。方法:收集符合美国精神障碍诊断与统计手册第四版(DSM-IV)诊断标准的83例长期住院的男性慢性精神分裂症患者,随机分为两组,"小组式"农疗组为研究组共45例,非农疗组为对照组共38例。"小组式"农疗包括每2天1次进行2小时农业劳动。6个月后评估个人和社会功能量表(PSP)和护士用住院病人观察量表(NOSIE)。结果:训练前,两组比较PSP和NOSIE的各因子评分差异均无统计学意义(tPSP=0.60,P>0.05);而训练后,与对照组比较,研究组PSP评分及NOSIE中社会能力、社会兴趣、总积极因素因子和病情总评分明显改善(t分别为-3.14,3.67,2.74,3.46,2.52;P<0.05),而其他各项评分差异均无统计学意义(P>0.05)。训练前后,研究组PSP评分、NOSIE中社会能力、社会兴趣、个人整洁、激惹、抑郁、总积极因素因子分、总消极因子分及病情总评分差异均有统计学意义(t=-25.72,-14.18,-10.12,-10.73,2.66,3.27,-17.59,2.07,-12.79;P<0.05),训练后均明显好于训练前成绩,而NOSIE中精神病表现和迟缓因子分差异无统计学意义(t=-0.96,1.88;P>0.05)。结论:"小组式"农疗是一种有效改善慢性精神分裂症患者社会功能的治疗方法,有条件可以进一步推广。
Objective：To investigate effect of agricultural rehabilitation treatment in team on social function of chronic male schizophrenics. Methods： 83 male schizophrenics meeting with criteria of the U. S. mental disorder diagnostic and the Statistical Manual Fourth Edition diagnostic were randomly divided into two groups. The study group （45. cases） was given agricultural rehabilitation treatment in team inclu- ding 2h farming work once every 2 days,while the control group（38 eases） was administered non -agri- cultural rehabilitation treatment. Personal and Social Performance scale（PSP） and the Nurses＇Observation Scale for Inpatient Evaluation （ NOSIE ） were applied to respectively evaluate the social functions and states in hospital after treatment 6 month. Results： Before treatment, the scores of PSP and NOSIE between two groups had no significant differences. After treatment, the scores of PSP, social ability, social interest, positive factor, and general score in .study group were improved compared with those in control group （t = -3.14,3.67,2. 74,3.46,2. 52 ;P 〈 0.05 ）. There were significant differences in the scores of PSP, social ability, social interest, individual tidy, irritation, depression, positive factor, negative factor and general score of study group between before and after training（ t = -25.72 ,-14. 18 ,-10. 12 ,-10.73,2. 66,3.27, -17.59,2.07 ,-12.79 ;P 〈 0.05 ）, and no difference in the scores of irritation, psychosis and retardation. Conclusion： The agricultural rehabilitation treatment in team can improve social functions of chronic schizophrenics＇, which should be promoted further if possible.
出处
《中国健康心理学杂志》
2015年第7期967-970,共4页
China Journal of Health Psychology
基金
衡水市科学技术研究与发展指导计划(编号:13048Z)
关键词
精神分裂症
农疗
社会功能
对照研究
Schizophrenia
Agricultural rehabilitation treatment
Social function
Control study
