实用医学杂志 ›› 2021, Vol. 37 ›› Issue (12): 1626-1630.doi: 10.3969/j.issn.1006⁃5725.2021.12.022

• 临床护理 • 上一篇    下一篇

稳定期精神分裂症患者病房内综合康复模式的建立与效果评价

曾钢, 肖爱祥, 欧阳艳芳, 梁容玉,吴逢春,李莉莉,黎丽燕   

  1. 广州医科大学附属脑科医院(广州市惠爱医院)(广州 510450)

  • 出版日期:2021-06-25 发布日期:2021-06-25
  • 通讯作者: 肖爱祥 E⁃mail:qiangweixiao@126.com
  • 基金资助:

    广州市卫生健康科技项目(编号:20191A010036); 广东省中医药卫生科技项目(编号:20192070);广州市科技计划 项目(编号:201807010064 

Establishment and effect evaluation of In⁃ward comprehensive rehabilitation model on stable schizophrenia inpatients under closed management 

ZENG Gang,XIAO Aixiang,OUYANG Yanfang,LIANG Rongyu,WU Fengchun,LI Lili,LI Liyan.    

  1. Affiliated Brain Hospital of Guangzhou Medical University(Guangzhou Huiai Hospi⁃ tal),Guangzhou 510450,China 

  • Online:2021-06-25 Published:2021-06-25
  • Contact: XIAO Aixiang E⁃mail:qiangweixiao@126.com

摘要:

目的 探讨病房内综合康复模式对住院封闭管理稳定期精神分裂症患者的康复效果及影响。方法 选取某三甲精神专科医院的 100 例住院封闭管理稳定期精神分裂症患者为研究对象,随机分为干预组和对照组各50例,对照组给予常规康复活动,干预组在此基础上引入病房内综合康复模式,采用 阴性症状量表、住院精神病患者社会功能评定量表 、焦虑自评量表在干预前后分别进行测评,并记录体质量指数。结果 协方差分析显示,两组干预前后差值的比较,在体质量指数,阴性症状及其各维度,住院精神病患者社会功能及其日常生活能力、始动性和交往维度,差异有统计学意义(P<0.05)。结论 病房内综合康复模式能有效缓解住院封闭管理稳定期精神分裂症患者的焦虑情绪,改善阴性症状,促进社会功能,为精神科住院封闭管理提供了一种康复新思路。

关键词:

 , 精神分裂症, 社会功能, 阴性症状, 病房内综合康复, 封闭管理, 康复

Abstract:

Objective To explore the effect and influence of comprehensive rehabilitation model on stable schizophrenia inpatients under closed management. Methods 100 cases of stable schizophrenia inpatients treated in a tertiary grade A psychiatric hospital were randomly assigned to study group and control group,with 50 cases in each group. The control group was given routine rehabilitation activities ,and the intervention group was added in ⁃ward comprehensive rehabilitation mode. Negative symptom scale,social function rating scale for inpatients with mental illness and anxiety self ⁃ rating scale were used for evaluation before and after the intervention,and body mass index was recorded also. Results Covariance analysis showed that the differences between the two groups before and after intervention were statistically significant in body mass index,negative symptoms and their dimensions,inpatient psychiatric patients′ social function and their ability to live a daily life ,initiation and communication(P < 0.05). Conclusion In ⁃ ward comprehensive rehabilitation training can effectively relieve those inpatients′ anxiety,improve negative symptoms,and promote social functions,in conclusion,it provides an new way of rehabilitation for the closed management of psychiatric department.

Key words:

"> schizophrenia, social function, negative symptoms, in?ward comprehensive rehabilita? tion model, closed management, rehabilitation ,