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| Application of systematic occupational therapy in rehabilitation treatment of patients with chronic schizophrenia |
| Shen Yunmei, Zhou Yan, Huang Guoxiu, Wang Lingai, Xu Meiyu |
| Lishui Second People′s Hospital, Lishui 323000, China |
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Abstract Objective To analyze the effect of systematic occupational therapy in rehabilitation treatment of patients with chronic schizophrenia.Methods Totally 86 patients with chronic schizophrenia diagnosed in our hospital and who met the inclusion criteriafrom Jan. 2018 to June 2018 were selected as the research objects, and the random number table method was used to divide them into the observation group and the control group. and they were divided into observation group and control group by random number table method. Patients in the control group were treated with routine antipsychotic drugs and closed nursing management.Patients in the observation group were given systematic occupational therapy besides that in the control group. The mental status, quality of life and social function of the two groups before and after nursing intervention were compared.Results After the nursing intervention, the scores of the brief psychiatric rating scale (BPRS) of the two groups were significantly lower than those beforethe intervention. The difference between before and after the intervention of the observation group was (13.71±2.25), and that of the control group was (6.65±3.12).The difference of the observation group was significantly larger than that of the control group (t=12.035, P＜0.001).Scoresof generic Quality of Life Inventory-74 (GQOLI-74) of the two groups of patients were higher than those before the intervention.The differences of the observation group in material life, mental health, and social function dimensions before and after the intervention were (1.59±1.12), (7.02±2.26), (8.23±2.15), and (6.70±3.55), while those of the control group were (0.92±0.25), (0.92±0.25), (2.68±2.14), and (3.14±2.25).The differences of the observation group were significantly larger than those of the control group (t=3.829, 11.290, 5.554, P＜0.001).The scores of the Scale of Social Skills for Psychiatric Inpatients(SSPI) in both groups were significantly lower than those before the intervention. The difference of observation group was (5.78±1.35)before and after intervention, and that of the control group was (1.97±0.31).The difference of the observation group was significantly larger than that of the control group (t=18.037, P＜0.001).ConclusionThe application of systematic occupational therapy in rehabilitation of patients with chronic schizophrenia is significant and worthy of clinical promotion.
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| Fund:丽水市公益技术应用研究项目 |
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| ［1］白冰，赵永厚．中医药治疗精神分裂症临床研究进展［J］．河北中医，2016，38(4)：637-640．
［2］于斌，王欣．对住院精神分裂症患者进行康复治疗后的疗效观察［J］．世界最新医学信息文摘，2016，16(36)：247．
［3］谭海英，李俊，秦绪英．探讨不同护理管理模式对住院精神分裂症患者的影响［J］．世界最新医学信息文摘(电子版)，2016，16(37)：213-216．
［4］崔倩，刘佳，谭凤玲．优质护理在精神分裂症护理中的应用分析［J］．临床医学工程，2017，24(8)：1169-1170．
［5］郭细先，陈亚萍，刘堂龙，等．交往训练对慢性精神分裂症患者社会功能的影响［J］．中华护理杂志，2011，46(12)：1157-1161．
［6］张永艳，赵景新，王秀梅，等．药物联合改良式森田疗法及内观疗法治疗慢性精神分裂症的临床疗效［J］．国际精神病学杂志，2016，43(6)：999-1001． |
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