手工制作训练对慢性精神分裂症患者康复的影响分析(1)
【摘要】 目的：分析手工制作训练对慢性精神分裂症患者康复的影响。方法：选取2017年1月-2019年1月本院长期住院的90例慢性精神分裂症患者为对象开展研究，收集患者病例资料，根据入院顺序对90例患者进行编号，单号为对照组(n=45)，采用常规抗精神疾病药物维持治疗，双号为观察组(n=45)，在对照组相同药物治疗措施的同时指导患者进行手工制作训练，对比分析两组的治疗效果。结果：治疗后，观察组患者的BPRS评分、PANSS评分均显著低于对照组患者，MCCB各领域评分及ADL评分均显著高于对照组患者，差异均有统计学意义(P<0.05)。结论：手工制作训练对改善慢性精神分裂症患者精神症状有显著作用，能显著改善患者的认知功能及日常生活能力。
【关键词】 精神分裂症 抗精神疾病药物 手工制作训练
doi：10.14033/j.cnki.cfmr.2020.10.070 文献标识码 B 文章编号 1674-6805(2020)10-0-03
The Influence of Handmade Training on the Rehabilitation of Patients with Chronic Schizophrenia/HUANG Qinhua， ZENG Dongmei， HUANG Qingru， GUO Xiangrong， LIN Min. //Chinese and Foreign Medical Research， 2020， 18(10)： -169
[Abstract] Objective： To analyze the effect of handmade training on the rehabilitation of patients with chronic schizophrenia. Method： From January 2017 to January 2019， 90 chronic schizophrenics in our hospital for a long time were taken as the object of study. The patients' medical records were collected. According to the order of admission， 90 patients were numbered. 45 patients in the control group were in the single number. They were treated with regular antipsychotic drugs. 45 patients in the observation group were treated with the same drugs in the control group at the same time， and guided the patients to carry out handmade training， and compared the therapeutic effect between the two groups. Result： After treatment， the BPRS and PANSS scores of the observation group were significantly lower than those of the control group， and the scores of MCCB and ADL were significantly higher than those of the control group， the differences were statistically significant (P<0.05). Conclusion： Handmade training has significant effect on improving the mental symptoms of patients with chronic schizophrenia， and can significantly improve the cognitive function and the ability of daily life of patients.
[Key words] Schizophrenia Antipsychotic drugs Handmade training
First-author’s address： Fuzhou Neuro-psychiatric Hospital， Fuzhou 350008， China
精神分裂癥是常见的心理疾病，发病率逐年增加[1]。单纯采用常规药物方法，虽能缓解患者的病情，但效果不太明显，治疗周期较长，影响患者正常生活，降低患者生活质量。为了深化研究，笔者所在医院对2017年1月-2019年1月入住本院的90例慢性精神分裂症患者进行治疗观察，其中45例慢性精神分裂症患者在采取药物治疗措施的同时指导患者进行手工制作训练，分析治疗效果，现报告如下。
1 资料与方法
1.1 一般资料
选取2017年1月-2019年1月本院长期住院的90例慢性精神分裂症患者为对象开展研究，纳入标准：符合《中国精神障碍分类与诊断标准第三版》[2]中慢性精神分裂症的诊断标准;无重大躯体疾病;治疗期间给予抗精神疾病药物维持治疗，药物种类剂量不变;语言交流正常;基础病历资料齐全。排除标准：合并脑器质性疾病、严重智力障碍或明显精神发育迟滞者;对抗精神疾病药物存在明显不良反应者;伴有严重抑郁、焦虑症状者;滥用药物者;严重衰退或冲动兴奋不合作者;基础资料信息缺失或不完整者。患者家属对研究知情同意;研究已获得医学伦理委员会批准。根据入院顺序对90例患者进行编号，单号为对照组患者45例，双号为观察组患者45例。两组患者一般资料比较，差异无统计学意义(P>0.05)，见表1。, http://www.100md.com(黄钦华 曾冬梅 黄清如 郭湘榕 林敏)
【关键词】 精神分裂症 抗精神疾病药物 手工制作训练
doi：10.14033/j.cnki.cfmr.2020.10.070 文献标识码 B 文章编号 1674-6805(2020)10-0-03
The Influence of Handmade Training on the Rehabilitation of Patients with Chronic Schizophrenia/HUANG Qinhua， ZENG Dongmei， HUANG Qingru， GUO Xiangrong， LIN Min. //Chinese and Foreign Medical Research， 2020， 18(10)： -169
[Abstract] Objective： To analyze the effect of handmade training on the rehabilitation of patients with chronic schizophrenia. Method： From January 2017 to January 2019， 90 chronic schizophrenics in our hospital for a long time were taken as the object of study. The patients' medical records were collected. According to the order of admission， 90 patients were numbered. 45 patients in the control group were in the single number. They were treated with regular antipsychotic drugs. 45 patients in the observation group were treated with the same drugs in the control group at the same time， and guided the patients to carry out handmade training， and compared the therapeutic effect between the two groups. Result： After treatment， the BPRS and PANSS scores of the observation group were significantly lower than those of the control group， and the scores of MCCB and ADL were significantly higher than those of the control group， the differences were statistically significant (P<0.05). Conclusion： Handmade training has significant effect on improving the mental symptoms of patients with chronic schizophrenia， and can significantly improve the cognitive function and the ability of daily life of patients.
[Key words] Schizophrenia Antipsychotic drugs Handmade training
First-author’s address： Fuzhou Neuro-psychiatric Hospital， Fuzhou 350008， China
精神分裂癥是常见的心理疾病，发病率逐年增加[1]。单纯采用常规药物方法，虽能缓解患者的病情，但效果不太明显，治疗周期较长，影响患者正常生活，降低患者生活质量。为了深化研究，笔者所在医院对2017年1月-2019年1月入住本院的90例慢性精神分裂症患者进行治疗观察，其中45例慢性精神分裂症患者在采取药物治疗措施的同时指导患者进行手工制作训练，分析治疗效果，现报告如下。
1 资料与方法
1.1 一般资料
选取2017年1月-2019年1月本院长期住院的90例慢性精神分裂症患者为对象开展研究，纳入标准：符合《中国精神障碍分类与诊断标准第三版》[2]中慢性精神分裂症的诊断标准;无重大躯体疾病;治疗期间给予抗精神疾病药物维持治疗，药物种类剂量不变;语言交流正常;基础病历资料齐全。排除标准：合并脑器质性疾病、严重智力障碍或明显精神发育迟滞者;对抗精神疾病药物存在明显不良反应者;伴有严重抑郁、焦虑症状者;滥用药物者;严重衰退或冲动兴奋不合作者;基础资料信息缺失或不完整者。患者家属对研究知情同意;研究已获得医学伦理委员会批准。根据入院顺序对90例患者进行编号，单号为对照组患者45例，双号为观察组患者45例。两组患者一般资料比较，差异无统计学意义(P>0.05)，见表1。, http://www.100md.com(黄钦华 曾冬梅 黄清如 郭湘榕 林敏)
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