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健康教育对康复期精神分裂症患者康复效果的对照研究
Control study for rehabilitation effects of health education on patients with schizophrenia in rehabilitation stage
【摘要】 目的:观察健康教育对康复期精神分裂症患者的康复效果。方法:将204例符合CCMD-3的康复期精神分裂症患者随机分为研究组(n=102)和对照组(n=102)。对照组仅接受药物治疗,研究组合并健康教育,为期6个月。采用简明精神病量表(BPRS)、自知力与治疗问卷表(ITAQ);护士用住院病人观察量表(NOSIE)、精神分裂症患者生活质量量表(SQLS)进行评定,观察康复效果。结果:研究结束时,研究组BPRS、ITAQ、SQLS评分较疗前均有明显减少(P﹤0.01);研究组的NOSIE总积极因子分、病情总估计分均较疗前明显提高(P﹤0.01);而对照组各项评分变化不明显(P﹥0.05)。结论:对康复期精神分裂症患者进行健康教育,能提高患者的疗效及生活质量,能改善患者的社会功能,有利于患者的康复。
【Abstract】 Objective: To study rehabilitation effects of health education on patients with schizophrenia in rehabilitation stage.Methods: 204 patients with schizophrenia in the rehabilitation stage and meeting CCMD-3 criteria were randomly assigned into intervention group(n = 102) and control group(n = 102).Intervention group was treated by drug treatment combined with the health education for 6 months,whereas control group was only given the drug treatment for 6 months.The rehabilitation effects were valuated with the Brief psychiatric rating scale(BPRS),Insight treatment attitude questionnaire(ITAQ),Nurses’ observation scale for inpatient evaluation(NOSIE),and Schizophrenia quality of life scale(SQLS) before and after the treatment.Results: After the treatment,the scores of BPRS,ITAQ,and SQLS in intervention group were all significantly lower than those before the treatment(P < 0.01);the scores of NOSIE total positive factor and the total disease estimation score were significantly higher than those before the treatment(P < 0.01).However,there were no significant changes in the scores of all items in control group(P > 0.05).Conclusions: For the patients with schizophrenia in the rehabilitation stage,the health education can improve the clinical efficiency and the quality of life,develop social functions,and promote the rehabilitation.
- 【文献出处】 中国民康医学 ,Medical Journal of Chinese People’s Health , 编辑部邮箱 ,2013年17期
- 【分类号】R473.74
- 【被引频次】9
- 【下载频次】54