摘要
目的探讨行为技能训练对流浪救助精神病患者预后的影响。方法将2016年1月~2017年1月在我院精神病科治疗的94例流浪救助精神病患者随机分为两组,均采用常规药物治疗,对照组给予常规院内管理,观察组给予行为技能训练,比较两组患者的症状改善情况、社会功能及日常生活能力、综合生活质量。结果观察组治疗后简明精神病评定量表(BPRS)、康复状态量表(MRSS)明显较对照组改善,差异有统计学意义(P<0.05);观察组治疗后社会功能评定量表(SSSI)及日常生活能力评定量表(ADL)明显低于对照组,差异有统计学意义(P<0.05);观察组治疗后物质生活维度、躯体健康维度、心理健康维度、社会功能维度等生活质量综合评定问卷(GQOLI)明显较对照组提高,差异有统计学意义(P<0.05)。结论行为技能训练对流浪救助精神病患者有明显的疗效,能够促进精神及整体症状的改善,提高社会能力和生活自理能力,提升生活质量,具有积极的临床意义。
Objective To explore the impact of behavioral skill training to the prognosis of patients with mental disorders. Methods 94 cases of psychiatric patients treated in the Department of psychiatry in our hospital from January 2016 to January 2017 were randomly divided into two groups.All the patients were treated with routine drug treatment.Patients in control group were treated with routine hospital management,and patients in observation group were treated with behavioral skill training.Improvement of symptoms,social function and ability of daily living of the two groups were compared. Results After treatment,the observation group,the Brief Psychiatric Rating Scale （BPRS） and the rehabilitation status scale （MRSS） were significantly improved,compared with the control group,the difference was statistically significant（P 〈 0.05）.After treatment, social function rating scale（SSSI） and the daily living ability Rating Scale （ADL） of observation group were significantly lower than the control group,the difference was statistically significant（P 〈 0.05）.After the treatment,the comprehensive assessment of the quality of life of material life dimension,physical health,mental health dimension dimension,social function dimensions questionnaire （GQOLI） of observation group were significantly higher than the control group, the difference was statistically significant （P 〈 0.05）. Conclusion Behavioral skill training has obvious curative effect on the vagrant patients with mental illness.It can promote the improvement of mental and overall symptoms,improve social skills and self-care ability,and improve the quality of life.It has positive clinical significance.
作者
朱艳清
文艳
ZHU Yanqing WEN Yan(Treatment Area Ward VI,Affiliated Mental Hospital of Guangzhou Municipal Bureau of Civil Affairs,Guangzhou 510430,China)
出处
《中国医药科学》
2017年第9期230-232,共3页
China Medicine And Pharmacy
关键词
流浪救助
精神病
行为技能训练
预后影响
Stray rescue
Mental disease
Behavioral skill training
Prognostic impact
