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职业康复训练对康复期精神分裂症患者自理能力及社会功能的影响 被引量:41

Effect of Vocational Rehabilitation Training on Self-Care Ability and Social Function of Patients with Convalescent Schizophrenia
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摘要 【目的】探讨职业康复训练对康复期精神分裂症患者自理能力及社会功能的影响。【方法】选择2016年5月至2017年4月本院收治的康复期精神分裂症患者96例为研究对象,随机分为观察组和对照组各48例,对照组给予常规药物治疗、工娱治疗、基本生存技能训练等,观察组在对照组的基础上联合职业康复训练。所有患者采用日常生活能力量表(ADL)评估自理能力,采用精神病患者康复疗效评定量表(IPROS)评定社会功能。【结果】观察组躯体生活自理能力、工具性生活自理能力评分明显高于对照组(P〈0.05);工娱治疗情况、生活能力、社交能力、讲究卫生能力、关心和兴趣、总分均明显高于对照组(P〈0.05)。【结论】职业康复训练有助于提高康复期精神分裂症患者自理能力,改善社会功能;应加强对康复训练项目的研究,以更大限度地发挥职业康复训练效果。 [Objective]To investigate the effect of vocational rehabilitation training on self-care ability and social function of patients with convalescent schizophrenia. [Methods]A total of 96 cases of patients with con- valescent schizophrenia admitted to our hospital from May 2016 to April 2017 were selected as the research subjects and were randomly divided into the observation group and the control group according to the admis- sion time, with 48 cases in each group. Patients in the control group were given routine drug therapy, work, recreational therapy, basic life skills training, etc., while patients in the observation group were given voca- tional rehabilitation training in addition to activities of the control group. The activity of daily living scale (ADL) was used to assess the self-care ability, and the inpatient psychosis rehabilitation observe scale (IPROS) was used to assess the social function. [Results]The scores on the physical self-maintenance scale and instrumental self-care ability in observation group were significantly higher than those in control group ( t = 5.805 ~ 10.299, P %0.051). The scores of work and recreational therapy, activities of daily living, social skills, daintily sanitation ability, concern/interest, and the total score were significantly higher than those in control group ( t = 4.013 ~ 8.500, P %0.05). [Conclusion]Vocational rehabilitation training can help to en- hance the self-care ability and improve social function of patients with convalescent schizophrenia. Research on rehabilitation training programs should be strengthened to give greater effect.
作者 安春 潘梅 向琴 高洁 AN Chun , PAN Mei , XIANG Qin ,et al(The first ward of chronic disease, The Third People's Hospital of Panzhihua City, Panzhihua, Sichuan 617061, China)
出处 《医学临床研究》 CAS 2018年第7期1311-1313,共3页 Journal of Clinical Research
关键词 精神分裂症/康复 社会适应 生活质量 Schizophrenia/RH Rehabilitation/MT Social Adjustment Quality of Life
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