团队技能训练对社区精神分裂症患者社会功能的影响

2015-10-14俞银华沈国珍王丽娟沈校康张有星

浙江医学教育 2015年5期

关键词：精神分裂症康复技能

俞银华，姜杨，沈国珍，王丽娟，沈校康，张有星

(浙江省立同德医院，浙江杭州 310012)

·临床护理·

团队技能训练对社区精神分裂症患者社会功能的影响

俞银华，姜杨@，沈国珍，王丽娟，沈校康，张有星

(浙江省立同德医院，浙江杭州 310012)

目的：探讨团队技能训练模式对社区精神分裂症患者社会功能的影响。方法采用随机数字表法将76例社区精神分裂症患者分为干预组和对照组，2组患者均给予常规康复训练，干预组接受为期5周的团队技能训练。在干预前后用社会功能缺陷筛选表(SDSS)进行评价。结果干预组患者训练后SDSS量表总分(从第1周至第5周依次为15.76±2.75,13.87±2.50,12.18±2.39,11.06±2.46,10.16±2.64)与对照组相比，差异均有统计学意义(P<0. 01)。结论在常规药物治疗的基础上结合团队技能训练能有效改善社区精神分裂症患者的社会功能，提高日常生活技能，团队技能训练值得在社区推广、应用。

技能训练；精神分裂症；社会功能；康复

Abstract：[Objective] To investigate the influence of team skills training model for community social function in patients with schizophrenia. [Method] With Random number table, 76 cases with schizophrenic were divided into community intervention group and control group. Two groups were given conventional rehabilitation and the intervention group were received a five-week team skills training. Before and after the intervention, evaluation was carried out with Social Disability Screening table (SDSS) rating scales. [Result] After were trained, SDSS total score of intervention group, from the first week to the first five weeks, were: 15.76 ± 2.75,13.87 ± 2.50,12.18 ± 2.39,11.06 ± 2.46 and 10.16 ± 2.64, respectively. Compared with the control group, there were significant differences (P<0.01). [Conclusion] Combined with conventional drug therapy, team skills training can effectively improve community social function in schizophrenia patients and improve daily living skills. Team skills training is worthy of ptomoting and applying in the community.

Keywords：skills training; schizophrenia; social function; rehabilitation

精神分裂症是一种迁延性、高复发率和高致残率的精神疾患，5年复发率高达80%[1]。防止复发、降低致残率、改善社会功能是精神康复的重要任务。团队技能训练是以日本生活技能训练(Social Skills Training，SST)为理论基础，与放松疗法(太极十二拍)相结合的团队训练方式，由精神科临床医生、护士、心理技师等相关人员参与，对精神障碍患者进行生活技能改善的康复训练模式[2]。本文就团队技能训练模式对社区精神分裂症患者社会功能的影响及提高患者日常生活技能的作用进行探讨。