摘要
目的 探讨《技能训练程式》对精神分裂症患者康复的作用。方法 随机把133例出院精神分裂症患者分为技能训练组66例和对照组67例,技能训练组接受《技能训练程式》训练20周,而对照组行门诊常规治疗。随访2年,用自知力与治疗态度问卷(ITAQ)、治疗依从性评定、社会功能缺陷筛选量表(SDSS)、复发率和再次住院率来评定其效能。结果 训练组的ITAQ减分值、患者药物依从性减分值、SDSS减分值、复发率和再住院率均优于对照组。结论 《技能训练程式》对促进精神分裂症患者康复具有重要作用。
Objective The purpose of this trial was to appraise the effects of both medication management module and symptom management module on rehabilitating 133 outpatients with schizophrenia. Methods After being discharged from the hospital with their symptoms' disappearance, one hundred and thirty-three subjects, who are conformed with the schizophrenic diagnostic criteria in both the Chinese Classification and Diagnostic Criteria of Mental Disorders, were randomly divided into two groups (66 in the skill training group and 67 in the control group) . For the first twenty weeks, the skill training group was trained with both medication management module and symptom management module which were revised by Beijing Anding hospital about the《Social and Independent Living Skills》 made by Robert Paul Liberman. On the other hand, the control group received conventional services at outpatient department freely. During a two-year follow-up period, all subjects were appraised with standard rating scales and self-made criteria. Results 64 subjects in each group had completed the trial separately. According to the last observation carried forward (LOCF), intent-to-treat of change from baseline, the skill training group was statistically superior to those of the control group on the appraisal tools, including (1) the reduction score on the Insight Treatment Attitude Questionnaire (-9.3 ±4.3 vs 7.2 ± 4.8) , (2) the reduction score on the Patient Drug Treatment Compliance Rating Scale( - 48.8 ± 27.4 vs 48.6 ± 32.6), (3) the reduction score on the Social Disability Screening Scale (3.1 ±2.8 vs -12.6±3.8). Above all, both the rate of relapse (34.4% ) and the rate of re-hospitalization (20.3%) in the skill training group were significantly lower than those in the control group (81.3% and 68.8%). Conclusions For schizophrenics trained with both medication management module and symptommanagement module, it is very effective not only to improve their insight, medication treatment compliance, and social function but also to prevent them from relapse and re-hospitalization.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
2004年第5期335-338,共4页
Chinese Journal of Nervous and Mental Diseases
基金
首都医学发展科研基金(编号:2002-1021)
关键词
精神分裂症
技能训练程式
康复
复发
Schizophrenia Skill training module Rehabilitation Relapse
