摘要
目的:探讨农村社区精神分裂症患者残疾功能恢复的方法及社会职业技能训练的效果。方法:2000-06/2003-06将枣庄市3个农村精神疾病社区康复试点乡镇已登记的精神分裂症患者中符合入组条件的300例患者随机分成训练组和对照组,每组各150例。两组均服小剂量抗精神病药(折合氯丙嗪剂量为<300mg/d),其中训练组同时接受社会技能训练及个案职业康复训练;于入组时和随访每1年末评定1次社会功能缺陷筛选量表(SDSS),同时进行残疾功能评定分级,3年共评4次。结果:①入组时训练组与对照组相比SDSS和残疾等级评定差异无显著性意义(P>0.05)。②综合干预1年时,训练组SDSS的职业和工作(0.76±0.70)、婚姻职能(0.27±0.54)、父母职能(0.26±0.54)、社会性退缩(0.55±0.61)、家庭外的社会活动(0.63±0.64)、家庭内活动过少(0.29±0.48)、家庭职能(0.33±0.54)、个人生活自理(0.20±0.40)、对外界的兴趣和关心(0.83±0.70)、责任心和计划性(0.84±0.72)10个因子评分和量表总分(4.32±4.69)明显低于对照组(P<0.01),残疾程度明显地轻于对照组,差异有非常显著性意义(P<0.01),这一结果一直持续到随访结束。结论:社会职业技能训练方法能有效地改善农村社区精神分裂症患者社会功能,降低残疾程度。
AIM:To investigate the methods for the functional recovery of rural community schizophrenic patients and the effects of social occupation technique exercises on their functional recovery. METHODS:From June 2000 to June 2003,300 rural patients with schizophrenia from 3 experimental towns for the rural community rehabilitation of mental diseases,who met the inclusion criteria were randomly divided into exercise group(n=150) and control group(n=150).The subjects in the two groups were taken low dose antipsychotic drug(chlorpromazine equivalent daily dose of 300 mg).Additionally,the exercise group was combined with social technique exercises and case occupation rehabilitation managements.All patients were evaluated with of social disability screening schedule(SDSS),and graded in disabled competent,at the beginning of grouping,every end year in the 3 year follow up study for 4 times in total. RESULTS:①There were no significant differences in SDSS and disabled rating between the exercise group and control group in the beginning(P >0.05).②After one year exercises,the total scores of scale(4.32±4.69) and ten terms of rating scale,occupations and jobs(0.76±0.70),marital function(0.27±0.54),parental function(0.26±0.54),social withdrawal(0.55±0.61),social activities beyond family(0.63±0.64),much few family activities(0.29±0.48),family function(0.33±0.54),personal care(0.20±0.40),interest and attention to outside environment(0.83±0.70),responsibility and arrangment(0.84±0.72) in the patients in the exercise group were lower than those in the control group(P< 0.01),as well as milder disability in the exercise group with a significant difference(P< 0.01).These results lasted till the end of follow up. CONCLUSION:Social occupation technique exercises can effectively improve social competency of rural community schizophrenic patients,and decrease disabled degree of rural schizophrenia.
出处
《中国临床康复》
CSCD
北大核心
2005年第8期48-50,共3页
Chinese Journal of Clinical Rehabilitation
