摘要
目的 探讨基于多学科诊疗模式下的个体化康复治疗训练对精神分裂症患者住院康复疗效的影响。方法 将符合诊断标准的100例精神分裂症患者按随机数字表法将其分为干预组和对照组，两组患者均接受常规精神科临床治疗、护理，干预组在此基础上另外实施8周的个体化康复治疗。采用住院精神病人康复疗效评定量表（IPROS）、精神分裂症患者生活质量量表（SQLS）在患者干预前、干预8周末分别进行评定并比较。结果 实施8周个体化康复训练后，干预组IPROS量表评分中工疗情况、生活能力、社交能力、讲究卫生能力、关心和兴趣、IPROS总分分别为（10.43±5.45）分、（12.23±5.61）分、（6.14±3.62）分、（3.43±3.19）分、（9.54±4.62）分、（44.83±19.14）分，对照组分别为（19.52±4.61）分、（16.75±4.57）分、（13.74±4.23）分、（5.71±3.31）分、（18.32±4.11）分、（73.41±16.42）分，两组差异均有统计学意义（t=6.870、4.283、6.043、2.569、6.763、6.870，均P＜0.05）。干预组训练后SQLS评分明显低于对照组［（80.04.±6.87）分比(86.62±10.66)分］，差异具有统计学意义（t=2.851，P＜0.01）。干预组对医院的总体满意率明显高于对照组（97.6%比82.2%），差异具有统计学意义（χ2=4.01，P＜0.05)。结论 个体化康复治疗能够有效提高精神分裂症患者的住院康复疗效，提高患者的社会功能和住院生活质量。
Objective To explore the impact of personal rehabilitation treatment training by multiple disciplinary team(MDT)on the recovery of schizophrenia patients.Methods A total of 100 patients with chronic schizophrenia were randomly divided into an intervention group and a control group using random number table.Both groups received psychiatric routine therapy,nursing care,and general entertainment therapy.And the intervention group took systemic personal rehabilitation treatment training for 8 weeks.SQLS and IPROS were respectively used to evaluate both groups before and after the intervention.Results After 8 weeks'systematic social skill training,the scores of public medical situation,life ability,social ability,antiseptic ability,and concern and interest and the total score of IPROS were(10.43±5.45),(12.23±5.61),(6.14±3.62),(3.43±3.19),(9.54±4.62),and(44.83±19.14)in the intervention group and were(19.52±4.61),(16.75±4.57),(13.74±4.23),(5.71±3.31),(18.32±4.11),and(73.41±16.42)in the control group,with statistical differences(t=6.870,4.283,6.043,2.569,6.763,and 6.870,all P<0.05).After the intervention,the SQLS score was significantly lower in the intervention group than in the control group[(80.04±6.87)vs.(86.62±10.66)],with a statistical difference(t=2.851,P<0.01).The overall satisfaction rate was significantly higher in the intervention group than in the control group(97.6%vs.82.2%),with a statistical difference(χ2=4.01,P<0.05).Conclusions Personal rehabilitation treatment training by MDT can greatly promote the recovery of in-patients with chronic schizophrenia,improve their social skills and life quality.
作者
樊献丽
吴建杰
王艳
武克文
白丽娟
张玉涛
李春燕
Fan Xianli;Wu Jianjie;Wang Yan;Wu Kewen;Bai Lijuan;Zhang Yutao;Li Chunyan(Shanxi Rongjun Kangning Hospital,Jinzhong 030800,China)
出处
《国际医药卫生导报》
2018年第8期1154-1157,共4页
International Medicine and Health Guidance News
关键词
个体化康复治疗
多学科诊疗模式
精神分裂症
精神康复
Personal rehabilitation treatment
Multiple disciplinary team
Schizophrenia
Psychiatric rehabilitation
