院内康复治疗对慢性精神分裂症患者的疗效分析(1)
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[摘要] 目的：探讨院内康复治疗对慢性精神分裂症患者的疗效。方法：将我院100例慢性精神分裂症患者随机分为干预组和对照组，各50例。对照组采用传统的常规护理，干预组在常规护理的基础上结合康复训练，由经过培训的精神科护士进行指导。对两组患者在治疗前及治疗3、6个月时采用住院精神分裂病患者康复疗效评定量表(IPROS)评分及护士用住院病人观察量表(NOSIE)进行干预前后的效果评定，并观察两组患者的服药依从性。结果：两组患者在治疗前IPROS评分和NOSIE评分结果显示，差异均无统计学意义(P>0.05)。在治疗3、6个月时，IPROS评分和NOSIE评分结果显示，差异均有统计学意义(P<0.05或P<0.01)。干预组服药依从性高于对照组。结论：院内康复治疗能显著改善患者的精神症状，提高治疗效果，提高患者的服药依从性。
[关键词] 慢性精神分裂症；康复治疗；疗效
[中图分类号] R749.3 [文献标识码] A [文章编号] 1673-7210(2011)07(a)-037-02
The efficacy of rehabilitation in the treatment of the inpatients with chronic schizophrenia
YE Baiwei, TAN Baijian, YE Feiying, LUO Huanrong, WU Dechun, ZHONG Wenkai, GUO Yanyang
The Second People′s Hospital of Huizhou City, Guangdong Province, Huizhou 516001, China
[Abstract] Objective: To explore the efficacy rehabilitation in the treatment of the inpatients with chronic schizophrenia. Methods: 100 patients with chronic schizophrenia in our hospital were randomly divided into two groups, each 50 cases. The control group was treated with the usual nursing, the intervention group based on the control group were used the rehabilitation by the nurses in the Psychiatry Department. The IPROS and NOSIE were used to assess the efficacy before and after the intervention, and observed the dependence of taking medicine. Results: Before treatment, there was no significant difference in the two groups on the scores of IPROS and NOSIE (P>0.05). After treatment of 3 months, 6 months, there were significant differences in the two groups on the scores of IPROS and NOSIE (P<0.05, P<0.01). The dependence of taking medicine in the intervention group was higher than that of the control group. Conclusion: Rehabilitation in the treatment of the inpatients with chronic schizophrenia which can improve the vigor symptom, and improve the efficacy and the dependence of taking medicine for the patients.
[Key words] Chronic schizophrenia; Rehabilitation; Efficacy
精神分裂症是临床上比较常见的重度精神障碍性疾病，占到各精神医疗机构中住院患者的70%以上[1]。慢性精神分裂症是一种慢性、迁延性疾病，且患者易反复发作住院，住院时间一般较长。长期住院会导致患者遗留有明显的社会缺陷，影响患者的生活能力、个人卫生能力及缺乏社会兴趣等社会功能[2]。因此，慢性精神分裂症的康复治疗是精神康复的重要研究内容。为了观察慢性精神分裂症的院内康复治疗效果，本文收集了2008年2月~2011年1月我院住院的慢性精神分裂症患者100例进行院内康复治疗研究，以观察康复治疗效果。现将结果报道如下： ......
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