摘要
目的:探讨病区内易操作易实施康复训练对慢性精神分裂症患者病情康复的影响。方法:选择2018年1-10月收治的90例慢性精神分裂症患者,按照随机数字表法将患者分为对照组与研究组,每组45例。对照组采用常规药物治疗,研究组采用常规药物联合病区内易操作易实施康复训练。对比两组患者治疗后的阳性与阴性症状量表(PANSS)、社会功能缺陷筛选量表(SDSS)、日常生活评定量表(ADL)、韦氏成人智力测验(WAIS-RC)、威斯康辛卡片分类测验WCST的评分情况。结果:治疗前,两组的阳性和阴性症状量表(PANSS)、日常生活评定量表(ADL)、社会功能缺陷筛选量表(SDSS)、韦氏成人智力测验(WAIS-RC)中IQ值、威斯康辛卡片分类测验(WCST)比较,差异均无统计学意义(P>0.05)。与治疗前比较,两组治疗后的PANSS、SDSS、WCST评分均降低,ADL评分、IQ值均升高,差异均有统计学意义(P<0.05)。研究组治疗后的PANSS、SDSS、WCST评分均低于对照组,ADL评分、IQ值均高于对照组,差异均有统计学意义(P<0.05)。结论:采用病区内易操作易实施康复训练联合常规治疗可显著改善患者精神症状、社会功能以及认知功能水平,可进行临床推广。
Objective:To explore the influence of easy operation and easy implementation of rehabilitation training on the rehabilitation of patients with chronic schizophrenia.Method:90 patients with chronic schizophrenia admitted from January 2018 to October 2018 were selected,and the patients were divided into control group and research group according to the random number table method,with 45 patients in each group.The control group was treated with conventional drugs,the research group adopted conventional drugs combined with easy operation and easy implementation of rehabilitation training in the ward.The scores of positive and negative symptom scale(PANSS),social dysfunction screening scale(SDSS),daily life rating scale(ADL),adult intelligence test(WAIS-RC)and Wisconsin card classification test(WCST)were compared between the two groups after treatment.Result:Before treatment,there were no significant differences between the two groups in the positive and negative symptoms scale(PANSS),activity of daily living scale(ADL),social dysfunction screening scale(SDSS),IQ value in Wechsler adult intelligence scale revised in China(WAIS-RC)and Wsiconsin card sorting test(WCST)(P>0.05).Compared with before treatment,PANSS,SDSS and WCST scores of the two groups were reduced,and ADL scores and IQ values were increased after treatment,with statistically significant differences(P<0.05).After treatment,PANSS,SDSS and WCST scores of the research group were lower than those of the control group,and ADL scores and IQ values were higher than those of the control group,with statistically significant differences(P<0.05).Conclusion:Rehabilitation training combined with routine treatment can significantly improve the mental symptoms,social function and cognitive function of patients,and can be popularized in clinic.
作者
李红丽
王飞
李福金
LI Hongli;WANG Fei;LI Fujin(Huizhou Second People’s Hospital,Huizhou 516003,China)
出处
《中国医学创新》
CAS
2019年第17期135-138,共4页
Medical Innovation of China
基金
惠州市科学技术局课题(180515191743369)
关键词
病区内
易操作易实施康复训练
慢性精神分裂症
In the ward
Easy to operate and implement rehabilitation training
Chronic schizophrenia
