摘要
目的探索现实导向训练护理方法在慢性精神分裂症患者社会功能恢复中的作用,为慢性精神分裂症患者社会功能的康复提供参考。方法选取2015年1月-2016年10月在顺德区伍仲珮纪念医院住院的慢性精神分裂症患者80例,采用随机数字表法分为导向组与对照组各40例。两组均给予常规治疗和用药监督,导向组在此基础上给予现实导向训练,两组均治疗3个月。在干预前后,应用日常生活能力量表(ADL)、社会功能缺陷筛选量表(SDSS)、护士用住院病人观察量表(NOSIE)及住院精神患者康复疗效评定量表(IPROS)评定患者的日常生活能力、社会功能缺陷程度、行为表现与变化、康复状态。结果干预后,两组ADL、SDSS、NOSIE及IPROS评分均低于干预前,差异均有统计学意义(P均<0.01);研究组ADL、SDSS、NOSIE及IPROS评分均低于对照组,差异均有统计学意义(P均<0.01)。结论两种治疗方法均可改善慢性精神分裂症患者的日常生活能力、社会功能及行为表现,但联合治疗的效果优于单用药物治疗。
Objective To analyze the effects of applying reality orientation training(ROT)to inpatients with chronic schizophrenia on the recovery of social function,so as to provide references for social function rehabilitation of patients with chronic schizophrenia.Methods 80 patients with chronic schizophrenia hospitalized in Wu Zhong Pei Memorial Hospital of Shunde District form January 2015 to October 2016 were recruited to join this study.They were randomly divided into research group and control group(40 participants each group).All patients were treated for 3 months.Both groups were provided with routine treatment and medication supervision,and the research group was intervened with ROT while the control group did not.Before and after the intervention,Application Activities of Daily Living(ADL),Social Disability Screening Schedule(SDSS),Nurse Observation Scale for Inpatient Evaluation(NOSIE)and Rehabilitation Status Rating Scale for Hospitalized Psychiatric Patients(IPROS)were used to assess participants'ability of daily living,degree of social dysfunction,behavioral performance and change as well as rehabilitation status.Results After the intervention,for both groups,the score of ADL,SDSS,NOSIE and IPROS was lower than the baseline,and the differences were statistically significant(all P<0.01).For research group,the score of ADL,SDSS,NOSIE and IPROS was lower than those of control group,and the differences were statistically significant(all P<0.01).Conclusion Both olanzapine alone and olanzapine combined with ROT can improve the ability of daily living,degree of social dysfunction,behavioral performance and change of chronic schizophrenia patients,and promote the rehabilitation of patients,but the efficacy of combination therapy is better.
作者
张莹
曹淑华
柯文英
Zhang Ying;Cao Shuhua;Ke Wenying(Wu Zhong Pei Memorial Hospital,Shunde District,Foshan City,Foshan 528300,China)
出处
《四川精神卫生》
2018年第3期241-245,共5页
Sichuan Mental Health
关键词
慢性精神分裂症
生活能力
现实导向训练
护理
Chronic schizophrenia
Life ability
Reality orientation training
Nursing
作者简介
通信作者:张莹,E-mail:329059135@qq.com。
