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目的探讨恢复期精神分裂症患者的院内康复效果。方法 116例恢复期精神分裂症患者,随机分为康复治疗组和常规对照组,各58例。常规对照组给予常规治疗,康复治疗组在常规治疗基础上给予康复治疗。比较两组患者的服药依从性、简明精神病评定量表(BPRS)总分及各因子得分,采用护士用住院患者观察量表(NOSIE)评定患者的治疗效果。结果康复治疗组患者的服药依从性明显优于常规对照组,差异有统计学意义(P<0.05)。治疗后康复治疗组焦虑抑郁、缺乏活力、思维障碍、激惹性得分及总分均低于常规对照组,差异有统计学意义(P<0.05)。康复治疗组患者的社会能力、社会兴趣、个人整洁、激惹、精神病性表现、退缩、抑郁评分分别为(22.65±2.47)、(27.88±6.34)、(30.49±5.65)、(9.58±2.06)、(6.34±2.37)、(7.23±2.89)、(3.76±1.27)分,均明显优于常规对照组的(15.67±2.53)、(11.03±5.46)、(12.29±3.67)、(13.47±1.36)、(8.87±2.69)、(13.79±4.21)、(5.68±1.25)分,差异有统计学意义(P<0.05)。结论对恢复期精神分裂症患者进行有效的院内康复治疗,能够改善恢复期精神分裂症患者的社会功能,明显提高恢复期精神分裂症患者的生活质量。
Objective To investigate the effect of hospital rehabilitation on patients with convalescent schizophrenia. Methods A total of 116 patients with convalescent schizophrenia were randomly divided into rehabilitation group and control group, 58 cases each. The conventional control group was given routine treatment, and the rehabilitation group was given rehabilitation treatment on the basis of routine treatment. The medication adherence, BPRS scores and scores of each factor were compared between two groups. NOSIE was used to evaluate the therapeutic effect of the two groups. Results The medication compliance of the rehabilitation group was significantly better than that of the control group (P <0.05). After treatment, anxiety and depression, lack of vitality, mental retardation, irritability score and total score in rehabilitation group were lower than those in routine control group (P <0.05). The scores of social ability, social interest, personal cleanliness, irritability, psychotic performance, withdrawal and depression in rehabilitation group were (22.65 ± 2.47), (27.88 ± 6.34), (30.49 ± 5.65) and (9.58 ± 2.06) , (6.34 ± 2.37), (7.23 ± 2.89) and (3.76 ± 1.27) were significantly higher than those in the control group (15.67 ± 2.53), (11.03 ± 5.46), (12.29 ± 3.67) and (13.47 ± 1.36 ), (8.87 ± 2.69), (13.79 ± 4.21) and (5.68 ± 1.25) points, respectively, with significant difference (P <0.05). Conclusion Effective rehabilitation of patients with schizophrenia in the recovery period can improve the social function of patients with schizophrenia during recovery and significantly improve the quality of life of patients with schizophrenia during recovery.