作业计划疗法对康复期精神分裂症作用.docVIP

作业计划疗法对康复期精神分裂症作用 　【关键词】 精神分裂症；康复期；作业计划 　　【摘要】 目的 探讨作业计划疗法对康复期精神分裂症的作用。 方法 选取我院家庭病房的60例康复期精神分裂症患者为研究组，随机抽取同期住院后出院的66例康复期精神分裂症患者为对照组（脱落6例）。研究组实施作业计划、表现评价、角色教育等训练；对照组给予提供一般心理咨询的服务。于入组时及治疗6mo、1a末采用社会功能缺陷筛选量表、精神病人护理观察量表对两组患者进行测评分析。结果 治疗6mo末，精神病人护理观察量表评分两组比较差异有极显著性（P＜0．01)，治疗1a各量表评分两组间比较均有极显著性差异（P＜0．01)，研究组无复发病例，对照组复发4例。 结论 作业计划疗法对康复期精神分裂症患者有良好疗效。 【关键词】 精神分裂症；康复期；作业计划 Effects of performance planning therapy on schizophrenia in rehabilitative period 【Abstract】 Objective To explore effects of performance planning therapy on schizophrenia in rehabilitative period. Methods 60 schizophrenics in rehabilitative period hospitalized in family ward were selected as research group and 66 discharged ones who were hospitalized in the corresponding period as control group(6 were free study). The research group received such trainings as performance planning, manifestation appreciation, role education and so on; the control group did common psychological consult. Measurements and analyses were conducted with the SDSS and the NORS at enrollment and the ends of 6th and 12th month treatment. Results At the end of the 6th month, there was very significant difference in the NORS between the 2 groups(P＜0.01); after 1 year treatment, there was very significant difference in scores of both the scales between the 2 groups(P＜0.01); none of the research group relapsed and 4 of the control group did. Conclusion Performance planning therapy has better curative effect in schizophrenics in rehabilitative period. 【Keywords】 Schizophrenia; rehabilitative period; performance planning 精神分裂症是精神科常见病、多发病，病程多迁延，复发率、致残率高［1］。传统的抗精神病药物对急性期的治疗发挥了巨大作用，但对预防复发、改善受损社会功能等方面的效果仍欠理想，新型的抗精神病药物亦未见明确报道［1］。我院以开设家庭病房的形式，把正规的精神专科护理延伸到社区，通过制定作业计划，施行表现评价、角色教育等方法，减少了该病近期复发率，显改善了患者的社会功能缺损状况，现将结果报告如下。 1 资料与方法 1.1 对象 选取2003年3月～2004年5月被收入我院家庭病房的60例康复期精神分裂症患者为研究组，随机抽取同期住院后出院66例康复期精神分 裂症患者为对照组。入组标准：（1）符合《中国精神障碍分类与诊断标准》第3版（CCMD3）精神分裂症诊断标准；（2）经过系统治疗病情已基本稳定，简明精神病评定量表（BPRS）总分≤30分；（3）年龄18～50a，均坚持规律服药；（4）排除有脑器质性疾病及躯体疾病；（5）排除脑器质性及躯体疾