四川精神卫生Issue(6)：494-497,4.DOI:10.11886/j.issn.1007-3256.2014.06.004
肇事肇祸精神分裂症患者院内重返社会程式训练及其疗效的一年随访
One year follow-up study of rehabilitation effect of the procedural skill training of re-entry into community in troublemaking in hospital schizophrenics
王桂丽 1潘烨 1蔡成华 1林祥吉 1李新英 1杨会 1纪青松 1史天涛1
作者信息
摘要
Abstract
Objective To explore the rehabilitation effect of the procedural skill training of re-entry into community in trouble-making schizophrenics. Methods A total of 90 inpatients with schizophrenia were randomly divided into training group and c ontrol group,45 cases respectively. This procedural skill training was carried out only in training group for 12 weeks. Then,all of them were followed up for 12 months. Positive and Negative Symptom Scale( PANSS),Modified Overt Aggression Scale( MOAS)and Social Disability Screening Schedule( SDSS)were adopted. Results Eighty -seven subjects completed the 1-year follow-up. According to the reduction score of PANSS,the study group demonstrated better improve-ment at the 4th,8th,12th week(P﹤0. 01).The training group was demonstrated significantly better improvement in total score in PAN-SS(3. 16 ± 2. 13),MOAS(0. 42 ± 0. 34)and SDSS(4. 04 ± 2. 13)scores at the ends of 12th month after training(all P﹤0. 01). The rates of relapse and rehospitalization were significantly lower(11. 6%vs. 25. 0%,2. 3%vs. 11. 4%,P﹤0. 05),and the rate of the re-currence of aggressive behavior was also lower than the control group(4. 7%vs. 15. 9%,P﹤0. 01). Conclusion The community re-entry program is helpful in relieving symptoms,improving social function,reducing the rates of relapse,rehospitalization and recur-rence of aggressive behavior of the troublemaking schizophrenics.关键词
精神分裂症/攻击行为/程式训练/康复Key words
Schizophrenia/Aggressive behavior/Procedural skill training/Rehabilitation分类
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王桂丽,潘烨,蔡成华,林祥吉,李新英,杨会,纪青松,史天涛..肇事肇祸精神分裂症患者院内重返社会程式训练及其疗效的一年随访[J].四川精神卫生,2014,(6):494-497,4.
