Abstract
目的 探讨社交综合技能训练对慢性精神分裂症患者的康复效果.方法 将120例住院慢性精神分裂症患者,随机分为试验组和对照组;试验组除常规治疗外,主要实施本研究设计的社交综合技能训练(简称训练),训练时间为4个月,使用量表SANS、IPROS测评.结果 2组患者在治疗前SANS、IPROS各因子分及总评总和分(指各因子总评分相加)比较,其差异无显著意义(P＞0.05);治疗组治疗后试验组情感平淡、思维贫乏、意志缺乏、兴趣缺乏、注意障碍、总评总和[分别为(1.41±0.40)分,(1.34±0.46)分,(1.44±0.49)分,(1.90±0.49)分,(1.48±0.51)分,(28.67±7.69)分]低于治疗前[分别为(2.18±0.64)分,(2.11±0.72)分,(2.32±0.68)分,(2.80±0.55)分,(2.26±0.72)分,(44.28±11.38)分]显著减少(P＜0.01);而对照组治疗前后比较差异无显著性.结论 社交综合技能训练可促进慢性精神分裂症患者积极参加人际交往、参与社会生活,有较好的社交康复效果,应考虑进一步验证和发展。
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