中国现代医学杂志2025，Vol.35Issue(21)：98-104,7.DOI:10.3969/j.issn.1005-8982.2025.21.016
人类职能模式康复训练结合文娱疗法对稳定期精神分裂症患者的康复疗效
The therapeutic effect of combining human functional rehabilitation training with recreational therapy on stable schizophrenia patients
摘要
Abstract
Objective This study aimed to evaluate the effectiveness of integrating human functional rehabilitation training with recreational therapy on the recovery of stable schizophrenia patients.Method Between June 2022 and May 2024,120 stable schizophrenia patients at Lishui Second People's Hospital were randomly assigned to two groups using a number table method.The observation group(60 cases)received rehabilitation treatment combining human functional mode rehabilitation training with recreational therapy,while the control group(60 cases)underwent standard rehabilitation treatment.Changes in IPROS score,RBANS score,positive symptoms,negative symptoms,general pathological score,SANS score,cognitive function,GAS score,and neurotransmitter levels[glutamate(Glu),gamma-aminobutyric acid(GABA),serotonin(5-HT),norepinephrine(NE)]were assessed before and after intervention.Results The observation group demonstrated significantly greater improvements in IPROS and RBANS scores compared to the control group(P<0.05).Greater reductions in positive symptoms,negative symptoms,and general psychopathology scores were observed in the observation group(P<0.05).Significant improvements were also noted in total scores,affective flattening,speech disorders,avolition,social anhedonia,and attention deficits(P<0.05).The observation group showed superior performance in cognitive tasks,including completed categories,total responses,perseverative errors,total errors,and correct responses(P<0.05).Enhanced GAS scores and significant changes in neurotransmitter levels(Glu,GABA,5-HT,NE)were observed in the observation group(P<0.05).Conclusion Integrating human functional rehabilitation training with recreational therapy significantly enhances the rehabilitation of stable schizophrenia patients,suggesting it as a promising strategy for clinical practice.关键词
精神分裂症/稳定期/人类职能模式康复训练/文娱疗法/康复Key words
schizophrenia/stable period/rehabilitation training for human functional models/recreational therapy/recovery分类
临床医学引用本文复制引用
林丽芬,梅武玲,鲍星星..人类职能模式康复训练结合文娱疗法对稳定期精神分裂症患者的康复疗效[J].中国现代医学杂志,2025,35(21):98-104,7.基金项目
浙江省医药卫生科技计划项目(No:2022ZH062) （No:2022ZH062）
