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。
Abstract：【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 convalescent 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 admission 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 vocational 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 enhance 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.
安春, 潘梅, 向琴, 高洁. 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[J]. 医学临床研究, 2018, 35(7): 1311-1313.
AN Chun, PAN Mei, XIANG Qin, et al. Effect of Vocational Rehabilitation Training on Self-Care Ability and Social Function of Patients with Convalescent Schizophrenia. JOURNAL OF CLINICAL RESEARCH, 2018, 35(7): 1311-1313.
[1] 朱慧,张燕,徐清,等.时间管理对提高精神分裂症患者日常生活自理能力的作用[J].中国健康心理学杂志,2013,21(2):232-233,234. [2] Pachoud B, Corbiere M.Practices and interventions related to the work integration of people with a severe mental illness: work outcomes and avenues of research[J]. Encephale, 2014, (Suppl 2): S33-S44. [3] 胡传存,徐连英,朱春燕,等.社会技能训练对精神分裂症病人自尊的影响[J].安徽医药,2017,21(8):1413-1415. [4] 中华医学会精神科分会.中国精神疾病分类与诊断标准3版[M].济南:山东科学技术出版社,2001:75-68. [5] 汪向东,王希林,马弘,等.心理卫生评定量表手册增订版[M].北京:中国心理卫生杂志社,1999:267-276. [6] 李功安,胡雄,金德珍,等.住院精神病患者康复疗效评定量表(Ⅰ)信度检验[J].中国康复医学杂志,1990,5(4):150-152. [7] Trapp W, Landgrebe M, Hoesl K, et al.Cognitive remediation improves cognition and good cognitive performance increases time to relapse--results of a 5 year catamnestic study in schizophrenia patients[J]. BMC Psyciatry, 2013, 13: 184. [8] 冯杏. 作业疗法在精神疾病康复治疗中的应用研究[J].护理实践与研究,2016, 13(15): 14-16. [9] 宋君伟,刘国友,张文佳,等.职业康复对住院精神分裂症患者康复作用[J].中国健康心理学杂志,2016,24(11):1622-1625. [10] 周玉英,张紫娟,吴勤华,等.职业技能训练对社区慢性精神分裂症患者的康复效果分析[J].中国康复医学杂志,2013,28(2):166-167. [11] Jegerg S, Weibhaupt S, Flammer E, et al.Control beliefs, therapeutic relationship, and adherence in schizophrenia outpatients: a cross-sectional study[J]. Am J Health Behav, 2014, 38(6): 914-923. [12] 卫学莉,张帆,卫学芝.精神疾病患者就业现状及对策[J].医学与社会,2016,29(1):27-29. [13] 刘同巍. 职业定岗训练对恢复住院精神分裂症患者社会功能的调查研究[J].临床研究,2016,24(9):148-149.
2018, Vol. 35 
