【摘要】 目的 研究带薪工娱疗法对精神分裂症患者生活质量、自我效能感、治疗依从性及负性情绪的影响。方法 选取2019年4月～2019年6月在本院住院治疗的精神分裂症患者60例为研究对象。并依照随机数表法将研究对象分为对照组和治疗组各30例。对照组患者接受精神科常规护理干预，治疗组患者在精神科常规护理的基础上同步接受带薪工娱疗法治疗。对比两组治疗前后日常生活活动能力(ADL)评分、一般自我效能感量表(GSES)评分、治疗依从性及心理状态评分。正态计量资料以 t 检验；计数资料以 x~2 检验。结果 治疗前两组间ADL评分结果差异无统计学意义(P>0.05)；两组治疗12周末，治疗组ADL评分显著高于对照组，差异有统计学意义(P<0.05)。治疗前两组GSES评分结果差异无统计学意义(P>0.05)；两组治疗12周末，治疗组GSES评分显著高于对照组，差异有统计学意义(P<0.001)。治疗组患者干预后的治疗依从性显著优于对照组(P<0.05)。治疗前，两组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均无显著性差异(P>0.05)；治疗12周后，治疗组患者SAS、SDS评分较对照组均显著更低(P<0.05)。结论 带薪工娱疗法对精神分裂症患者治疗效果显著，可显著提升患者的生活质量和自我效能，提高患者治疗依从性，改善患者心理状态。更多还原

【Abstract】 Objective To study the effect of paid work-recreation therapy on quality of life and self-efficacy in patients with schizophrenia.Methods 60 patients with schizophrenia who were hospitalized from April 2019 to June 2019 were studied.According to the random number table method,the subjects were divided into the control group and the treatment group with 30 cases in each group.The control group was given routine psychiatric care,and the treatment group was treated with paid work-entertainment therapy on the basis of routine psychiatric care.The scores of activities of daily living scale (ADL),general self-efficacy scale (GSES),treatment compliance and psychological state scores were compared between the two groups before and after treatment.Normal measurement data were tested by t test;count data were tested by x~2.Results There was no significant difference in ADL scores between the two groups before treatment (P>0.05).The ADL score after 12 weeks’ treatment in treatment group was significantly higher than the control group (P<0.05).There was no significant difference in GSES scores between the two groups before treatment (P>0.05),and the GSES score after 12 weeks’ treatment in treatment group was significantly higher than the control group (P<0.05).The treatment compliance of the patients in the treatment group after intervention was significantly better than that in the control group (P<0.05).There was no significant difference in self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scale scores before treatment in both groups (P>0.05),and both SAS and SDS scale scores in intreatment group were significantly lower than in the control group after 12 weeks of treatment (P<0.05).Conclusion The paid work-entertainment therapy has a remarkable effect on the treatment of schizophrenia patients,which can significantly improve the quality of life and self-efficacy of patients,improve the treatment compliance and psychological state of patients.更多还原