综合实践式自我管理技能训练对慢性精神分裂症患者的影响.docVIP

精品论文 参考文献 综合实践式自我管理技能训练对慢性精神分裂症患者的影响 陈杰 朱秀强 　　北京市大兴区精神病医院 精神四科 北京 102600 　　【摘 要】目的：研究自创的综合实践式自我管理技能训练对慢性精神分裂症患者的影响。方法：按照一定标准选取现住院精神分裂症患者60名，随机分为研究组和对照组，每组30人。对照组仅给予一般住院治疗、护理和健康教育，研究组在此基础上进行为期3个月的自创的综合实践式自我管理技能训练，所有病人均在训练前、训练结束时和训练结束后3个月给予社会功能缺陷量表（SDSS）和精神分裂症患者自我管理量表（SSMIS)评估。结果：对照组在训练前后及训练结束后3个月的量表评分无统计学差异，而研究组在训练后及训练结束后3个月社会功能缺陷量表（SDSS)评分明显低于训练前和对照组，精神分裂症患者自我管理量表（SSMIS)评分则明显高于训练前和对照组，变化均有统计学差异。结论：综合实践式自我管理技能训练能改善慢性精神分裂症患者受损的社会功能，并能提高患者的自我管理能力，这种变化能持续保持一段时间（至少3个月）。 　　【关键词】精神分裂症；技能训练；自我管理 　　【中图分类号】R749.3 【文献标识码】B 【文章编号】1674-8999（2015）8-0480-02 　　Comprehensive practical self-management skills training in patients with chronic schizophrenia 　　Chen Jie Zhu Xiu Qiang 　　(Beijings daxing district psychiatric hospital Beijing 102600 Corresponding au thor:Chen Jie, chen0328a@163.com) 　　【Abstract】Objective:to investigate the change of social skills in patients with chronic shizophrenia by created Comprehensive self-management skills Trainning.Method:60 inpatient patients with chronic schizophenia were recruited and randomly divided into the studied groups (30 patients)and the control groups(30 patients).The control groups were treated with common treatments,nursing care and healthy education while the studied group were treated with created Comprehensive self-management skills Trainning besides.Schizophrenia Self-Management Instrument Scale(SSMIS)and Social Disability Screening Schedule(SDSS) were used to access social skills levels of all of patients before the study,at the end of the study and later 3months after the end of the study.Results:There are significant differences between before the study ,at the end of the study and later 3 months in the studided groups,between the studied group and the control group.Conclusion:Comprehensive practical self-management skills training can improve the deficit social function of patients with chronic schizophrenia,and enhangce the ability of self-management for 3 months. 　　【Keywords】Schizophrenia Skills training