【摘要】 目的 探讨综合康复训练对军队慢性精神分裂症患者自尊、社交能力及应对能力的影响。 方法 将86例慢性精神分裂症军人患者随机分为研究组42例与对照组44例。对照组给予常规抗精神病药治疗，研究组在此基础上实施综合康复训练。疗程均为2mo。采用社交焦虑量表、自尊量表和简易应对方式问卷分别于综合康复训练前及训练末1w内进行评定分析。 结果 综合康复训练前，两组各量表总分及各因子分均无显著性差异(P>0.05)；综合康复训练末，研究组自尊量表分明显提高(P<0.01)，社交焦虑体验和回避社交因子分明显下降(P<0.01)，积极应对因子分显著升高(P<0.05)，消极应对因子分明显降低(P<0.05)；两组比较差异有显著或极显著性(P<0.01，或0.05)。 结论 综合康复训练可改善精神分裂症患者的应对能力和社交能力，提高社会适应能力。

    【关键词】 综合康复训练；慢性精神分裂症；应对方式；社会适应能力

    The influence of comprehensive rehabilitation training on the social adaptability of soldier's chronic schizophrenics

    Zhang Weihong, Gan Jingli, Gao Cunyou, et al

    (Mental Diseases Prevention ＆ Treatment Center of Chinese PLA, Chinese PLA 91st Central Hospital, Jiaozuo 454003, China)

    【Abstract】 Objective To explore the influence of comprehensive rehabilitation training on selfrespect, social capacity and coping capacity of soldier's chronic schizophrenics. Methods 86 soldier's chronic schizophrenics were randomly divided into research(n=42) and control (n=44)group. The former received the combination of comprehensive rehabilitation training and routine antipsychotics and the latter did routine antipsychotics for 2 months. Assessments were conducted using the Liebowitz Social Anxiety Scale(LSAS), The SelfEsteem Scale(SES) and Simplified Coping Style Questionnaire(SCSQ) were used before training and within 1 week after training. Results Before training, there were no significant differences in total and factors' scores of each scale between the 2 groups(P>0.05); at the end of training, in the research group score of the SES increased significantly(P<0.01),scores of both social anxiety and avoidance decreased(both P<0.01),score of active coping increased significantly(P<0.05) and the negative decreased(P<0.05); there was significant difference between the 2 groups(P<0.01). Conclusion The comprehensive rehabilitation training can improve the coping capacity, social capacity and adaptability. ...... 如果您在使用手机等流览时无法查看或下载全文，可能是被搜索引擎失真“转码”，请点击屏幕最下方的“电脑版”或“原网页”访问。


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