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高晓庆1,马冬梅2.社会工作联合综合精神康复训练对精神分裂症患者精神症状及社会功能的影响[J].中国医药科学,2020,(1):186-189        基金项目:
社会工作联合综合精神康复训练对精神分裂症患者精神症状及社会功能的影响
Effects of social work combined with comprehensive mental rehabilitation training on mental symptoms and social function in patients with schizophrenia
  
DOI:
中文关键词:  社会工作;精神康复训练;精神分裂症;精神症状;社会功能
英文关键词:Social work;Mental rehabilitation training;Schizophrenia;Psychiatric symptoms;Social function
作者单位
高晓庆1,马冬梅2 1. 北京市第三社会福利院民康医院精神科,北京 102206;2. 北京市昌平区医院,北京 102200 
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中文摘要:
      [摘要] 目的 探讨社会工作联合综合精神康复训练对精神分裂症患者精神症状及社会功能的影响。 方法 选取 2015 年 1 月~ 2018 年 12 月在我院长期住院的精神分裂症患者 90 例,通过随机数字表法将其分为观察组和对照组,每组 45 例。对照组患者接受综合精神康复训练模式;观察组患者接受社会工作联合综合精神康复训练模式。观察两组患者训精神症状(PANSS 评分)、社会功能(SSPI 评分)以及依从性。 结果 观察组患者的总依从率明显高于对照组,差异有统计学意义(P < 0.05);同组训练后的 PANSS 评分均较训练前均有所改善,差异有统计学意义(P < 0.05);两组训练前的 PANSS 评分比较,差异无统计学意义(P > 0.05);观察组训练后的 PANSS 评分明显低于对照组,差异有统计学意义(P < 0.05);同组训练后的 SSPI 评分均较训练前均有所改善,差异有统计学意义(P < 0.05);两组训练前的 SSPI 评分比较,差异无统计学意义(P > 0.05);观察组训练后的 SSPI 评分明显高于对照组,差异有统计学意义(P < 0.05)。 结论 社会工作联合综合精神康复训练可改善精神分裂症患者的精神症状,提高患者的社会功能,效果优于单纯的精神康复训练。在临床管理中,值得推广应用。
英文摘要:
      [Abstract] Objective To explore effects of social work combined with comprehensive mental rehabilitation training on mental symptoms and social function in patients with schizophrenia. Methods 90 patients with schizophrenia who were hospitalized in our hospital for a long time from January 2015 to December 2018 were selected as research objects.They were divided into the observation group and the control group by random number method,with 45 cases in each group.Patients in the control group were given comprehensive mental rehabilitation training model while patients in the observation group were given social work combined with comprehensive mental rehabilitation training model.Psychiatric symptoms (PANSS score),social function (SSPI score) and compliance were observed in both groups. Results The total compliance rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant (P < 0.05).The PANSS scores of the same group after training were improved compared with those before training,and the difference was statistically significant (P < 0.05).There was no statistically significant difference in PANSS scores between the two groups before training (P > 0.05).The PANSS score of the observation group after training was significantly lower than that of the control group,and the difference was statistically significant (P < 0.05).The SSPI scores of the same group were improved compared with those before training,and the difference was statistically significant (P < 0.05).There was no statistically significant difference in the SSPI scores between the two groups before training (P > 0.05).The SSPI scores of the observation group after training were significantly higher than those of the control group,and the difference was statistically significant (P < 0.05). Conclusion Social work combined with comprehensive mental rehabilitation training can improve the mental symptoms of patients with schizophrenia and improve their social function,which has better effects than simple mental rehabilitation training.In clinical management,it is worth promoting and applying.
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