摘要
目的探讨动态情境社交技能训练应用于住院精神分裂症患者的临床效果。方法选取2015年8月~2016年8月期间我院接收的120例住院精神分裂症患者,将入选者随机分为对照组(n=60)与观察组(n=60),对所有患者均予以抗精神病对症治疗,两组予以常规护理措施,观察组另开展动态情境社交技能训练,观察两组患者干预效果。结果干预前,两组患者PANSS量表阴性症状、阳性症状及总分、一般精神病理、IPROS量表各项评分及总分、NOSIE总积极分及总消极分比较均无明显差异(P> 0.05);干预后,观察组患者PANSS量表阴性症状、阳性症状、总分及一般精神病理均显著改善,且显著优于对照组(均P <0.05);同时干预后,观察组患者IPROS量表各项评分及总分均明显低于对照组(均P <0.05);此外,干预后,观察组患者总积极分明显高于对照组(P <0.05),总消极分显著低于对照组,差异具有显著性(P <0.05);而对照组干预后仅一般精神病理及总分、工疗情况、社交能力及总分、总积极分及总消极分均显著优于干预前(P <0.05)。结论开展动态情境社交技能训练能够有效改善住院精神分裂症患者的精神症状,使其康复效果及社会功能提高,具有推广价值。
Objective To explore the clinical effect of dynamic situation-oriented social skill training in-patients with schizophrenia. Methods One hundred and twenty in-patients with schizophrenia treated in our hospital from August 2015 to August 2016 were selected. The subjects were randomly divided into two groups, 60 cases in each group. All the patients received the anti-psychotic therapy and conventional nursing care. The observation group also took the dynamic situation-oriented social skill training. The clinical effect of two groups were observed. Results Before intervention, the evaluation scores of negative and positive symptoms and total scores in the PANSS, general psychopathology, the scores and total scores of IPROS, the total positive and negative scores in the NOSIE of two groups were not significantly different(P 〉 0.05). After intervention, the evaluation scores of negative and positive symptoms and total scores in the PANSS and general psychopathology of observation group were significantly better than those of control group(P 〈 0.05). After intervention, the scores and total scores of IPROS of observation group were significantly lower than those of control group(P 〈 0.05). After intervention, the total positive scores of the NOSIE in observation group were greatly increased while the total negative scores were greatly redueed(P 〈 0.05). After intervention, the general psychopathology and total score, occupational therapy, social competence and total score, total positive score and total negative score in the control group were only significantly better than those before intervention(P 〈 0.05). Conclusion The dynamic situation-oriented social skill training can efficiently improve the psychiatric symptoms of schizophrenic inpatients, promote their rehabilitation effect and social function, and has promotional value.
作者
崔倩
许曲
汪丹
王美
CUI Qian ;XU Qu ;WANG Dan; WANG Mei;(Guangzhou Civil Affairs Bureau Psychiatric Hospital Ankang Institute, Guangzhou 510430, China)
出处
《中国医药科学》
2018年第18期89-92,共4页
China Medicine And Pharmacy
关键词
常规护理
精神分裂症
动态情境社交技能训练
阳性和阴性综合征量表
Conventional nursing care
Schizophrenia
Dynamic situation-oriented social skill training
Positive and negative syndrome scale