医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2014年
7期
841-842,845
,共3页
李合群%李墨池%崔拥军%张加强
李閤群%李墨池%崔擁軍%張加彊
리합군%리묵지%최옹군%장가강
精神障碍%社区康复训练%康复效果
精神障礙%社區康複訓練%康複效果
정신장애%사구강복훈련%강복효과
Mental disorder%Community rehabilitation%Effect of rehabilitation
目的：探讨社区康复训练方式对于不同类型精神障碍的应用效果。方法：根据自愿入组原则募集目前处于康复期的精神障碍患者251人入组接受社区康复训练，对照组96人，研究期间不接受康复训练。采用“自我接纳问卷（SAQ）”、“社会功能缺陷量表（SDSS）”、“情感量表”及“TDL生命质量量表”评估康复效果。结果：（1）在4组不同诊断间的结果比较中，除正性情感与情感平衡外，其他所有评价指标均有显著性差异。（2）精神分裂症在社会功能缺陷等多个比值中均低于其他类型的精神障碍者。（3）情感性精神病与神经症和心理应激障碍比较在社会功能缺陷及生命质量上差值有显著性差异。（4）神经症与心理应激障碍比较的显著性差异主要在正性接纳、自我接纳、生命质量几个方面。结论：患者自愿接受社区精神康复训练效果受病程、诊断等多因素影响；社区精神康复训练在不同的精神疾病中康复效果不同。精神分裂症的精神康复效果在多个指标中低于其他诊断。
目的：探討社區康複訓練方式對于不同類型精神障礙的應用效果。方法：根據自願入組原則募集目前處于康複期的精神障礙患者251人入組接受社區康複訓練，對照組96人，研究期間不接受康複訓練。採用“自我接納問捲（SAQ）”、“社會功能缺陷量錶（SDSS）”、“情感量錶”及“TDL生命質量量錶”評估康複效果。結果：（1）在4組不同診斷間的結果比較中，除正性情感與情感平衡外，其他所有評價指標均有顯著性差異。（2）精神分裂癥在社會功能缺陷等多箇比值中均低于其他類型的精神障礙者。（3）情感性精神病與神經癥和心理應激障礙比較在社會功能缺陷及生命質量上差值有顯著性差異。（4）神經癥與心理應激障礙比較的顯著性差異主要在正性接納、自我接納、生命質量幾箇方麵。結論：患者自願接受社區精神康複訓練效果受病程、診斷等多因素影響；社區精神康複訓練在不同的精神疾病中康複效果不同。精神分裂癥的精神康複效果在多箇指標中低于其他診斷。
목적：탐토사구강복훈련방식대우불동류형정신장애적응용효과。방법：근거자원입조원칙모집목전처우강복기적정신장애환자251인입조접수사구강복훈련，대조조96인，연구기간불접수강복훈련。채용“자아접납문권（SAQ）”、“사회공능결함량표（SDSS）”、“정감량표”급“TDL생명질량량표”평고강복효과。결과：（1）재4조불동진단간적결과비교중，제정성정감여정감평형외，기타소유평개지표균유현저성차이。（2）정신분렬증재사회공능결함등다개비치중균저우기타류형적정신장애자。（3）정감성정신병여신경증화심리응격장애비교재사회공능결함급생명질량상차치유현저성차이。（4）신경증여심리응격장애비교적현저성차이주요재정성접납、자아접납、생명질량궤개방면。결론：환자자원접수사구정신강복훈련효과수병정、진단등다인소영향；사구정신강복훈련재불동적정신질병중강복효과불동。정신분렬증적정신강복효과재다개지표중저우기타진단。
Objective :To evaluate the effects of the rehabilitation training for treatment of patients among different mental disorders in community .Methods :Enrolled 251 patients in rehabilitation period with different mental disorders accepted rehabilitation training ,96 patients did not accept any rehabilitation training during the period of study as con-trol groups .Self Accept Questionnaire ,Social Disability Screening Scale ,Positive Affect and Negative Affect Scale and TDL Life Quality Scale were used to evaluated the effect of rehabilitation training .Results:(1)Almost all evaluated in-dictors have significant difference among four different mental disorders excluded the positive and affective balance fac-tor .(2)The patient with schizophrenia scored lower in most factors of SDSS than other mental disorders .(3)Compared with neurosis disorder and stress related disorder ,mood disorder scored lower and had statistically significance .(4) Compared with stress related disorder ,neurosis disorder scored significantly higher in positive accept ,self accept ,and some factors of TDL-life quality .Conclusion:The effects of rehabilitation training are influenced by many factors ,such as the categories of the mental disorder ,the course of the disorder and other factors .The effects of community rehabili-tation training are differently among different categories of disorders .The effect of community rehabilitation training in patients with Schizophrenia had scored lower significantly than other mental disorders .
