CAJ | 학술논문

目的探讨沟通训练对首发精神分裂症患者康复的影响.方法选取我院住院的首发精神病患者120例,按住院单双号分成两组,每组60例,两组均给予常规抗精神病药物治疗,研究组在此基础上进行沟通训练,观察6周.于训练前及训练6周末,应用BPRS评分量表、DASⅡ评定量表、社会功能评定量表(SSPI)评定训练对患者康复的影响.结果两组BPRS评分于训练3周及6周末均显著下降(P＜0.01),研究组干预后更显著低于对照组(P＜0.01),对照组则无显著变化(P＞0.5);DASⅡ总分及社交各项因子分均较培训前明显下降(P＜0.05),其中DASⅡ总分和与人相处方面改善差异有极其显著意义(P＜0.01);SSPI评分各因子分均显著优于对照组(P＜0.01).结论通过对首次住院精神病患者进行沟通训练,能显著提高患者的沟通能力,对于提升患者的自信心,促进患者参加人际交往都有积极作用,是一项有效地精神康复计划之一.
목적 탐토구통훈련대수발정신분렬증환자강복적영향.방법 선취아원주원적수발정신병환자120례,안주원단쌍호분성량조,매조60례,량조균급여상규항정신병약물치료,연구조재차기출상진행구통훈련,관찰6주.우훈련전급훈련6주말,응용BPRS평분량표、DASⅡ평정량표、사회공능평정량표(SSPI)평정훈련대환자강복적영향.결과 량조BPRS평분우훈련3주급6주말균현저하강(P＜0.01),연구조간예후경현저저우대조조(P＜0.01),대조조칙무현저변화(P＞0.5);DASⅡ총분급사교각항인자분균교배훈전명현하강(P＜0.05),기중DASⅡ총분화여인상처방면개선차이유겁기현저의의(P＜0.01);SSPI평분각인자분균현저우우대조조(P＜0.01).결론 통과대수차주원정신병환자진행구통훈련,능현저제고환자적구통능력,대우제승환자적자신심,촉진환자삼가인제교왕도유적겁작용,시일항유효지정신강복계화지일.
Objective To explore the influence of communication training on rehabilitation in patients with first-episode schizophrenia.Methods 120 cases of first-episode schizophrenia in our hospital were selected and divided into two groups according to hospitalization odd and even number,60 cases in each group.Two groups were both given conventional antipsychotic drug therapy,study group received communication training for 6 weeks on the basis of it.Evaluated the influence of training on patients' rehabilitation with Brief Psychiatric Rating Scale (BPRS),WHO Disability Assessment Schedule (WHO-DAS Ⅱ),SSPI before and 6 weeks after training.Results BPRS score in both two groups significantly decreased at the 3rd and 6th weekend after training (P ＜ 0.01),BPRS score in study group was significantly lower than that in control group after training (P ＜ 0.01),without significant change in control group (P ＞ 0.05).DAS Ⅱ aggregate score and various social factor points were significantly lower than those before training (P ＜ 0.05),of which DAS Ⅱ aggregate score and getting along with people factor point significantly improved (P ＜ 0.01).Each factor point of SSPI score in study group was significantly better than that in control group (P ＜ 0.01).Conclusions Communicate training in allusion to patients with first-episode schizophrenia can significantly improve patient's ability to communicate and confidence,promote patients to participate in interpersonal communication,which is an effective mental rehabilitation program.