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作业疗法联合代币疗法在“三无”精神疾病患者康复训练中的应用 被引量:5

Application of occupational therapy combined with token therapy to rehabilitation training of the vagrant patients with mental disease
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摘要 目的:探讨作业疗法联合代币疗法在"三无"精神疾病患者康复训练中的应用效果。方法:将41例"三无"精神疾病患者随机分为观察组21例和对照组20例,观察组实施作业疗法联合代币疗法相结合的康复训练模式,对照组实施传统的精神科护理管理模式。采用护士用住院患者观察量表(NOSIE)和住院精神患者康复疗效评定量表(IPROS)对两组患者干预效果进行评定。结果:干预6、12个月后观察组NOSIE总积极因素评分明显高于对照组干预后,总消极因素评分明显低于对照组干预后(P<0.05,P<0.01);干预后观察组IPROS总分与对照组比较差异有统计学意义(P<0.05,P<0.01)。结论:作业疗法和代币疗法相结合的康复训练模式能提高患者住院生活质量,对"三无"精神疾病患者的全面康复起到积极作用。 Objective:To investigate the effect of occupational therapy combined with token therapy in rehabilitation training of the va-grant patients with mental disease. Methods:41 vagrant patients with mental disease were randomly divided into the observation group( n=21)and the control group(n=20). The occupational therapy combined with token therapy was adopted in the patientˊs rehabilitation train-ing in the observation group and the traditional psychiatric nursing care and management mode was implemented in the control group. NOS-IE and IPROS were used to evaluate the intervention effect in the two groups. Results:The total scores of positive factors of NOSIE were significantly higher and the total scores of negative factors were significantly lower in the observation group than the control group after in-tervention for 6 and 12 months(P〈0. 05,P〈0. 01);there was statistically significant difference in the comparison of the total score of IPROS between the two groups(P〈0. 05,P〈0. 01). Conclusion:The occupational therapy combined with token therapy can significantly improve the quality of life of the vagrant patients with mental disease during hospitalization and it palys an active role in the rehabilition of the patients.
作者 郑永梅
机构地区 临沂市荣军医院
出处 《齐鲁护理杂志》 2014年第18期16-18,共3页 Journal of Qilu Nursing
关键词 “三无”精神疾病患者 作业疗法 代币疗法 康复训练 Vagrant patients with mental disease Occupational therapy Token therapy Rehabilitation training
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