【摘要】 目的 探索基础生活护理和训练对住院老年慢性精神分裂症患者的作用，以便更广泛用于临床老年精神分裂症患者的生活康复。方法 连续住院5年以上、年龄60岁以上、病程11年以上的25例住院精神分裂症患者进行为期6个月的基础生活护理和训练，并使用护士用住院病人观察量表(NOSIE)和老年临床评定量表(SCAG)作护理和训练前后评估[1]。结果 量表NOSIE和SCAG于护理和训练前后评估差异均有显著性(P<0.001)。各项症状和能力都有明显改善和进步。结论 对住院时间长，病程长，年龄偏大的慢性精神分裂症患者运用基础护理和训练可改善精神症状和生活质量。

    【关键词】 基础生活护理和训练；老年精神分裂症患者；康复

    【Abstract】 Objective To explore the effect of basic life nursing and training on senile inpatients with chronic schizophrenia，in order to make it be widely used in life rehabilitation of clinical senile patients with chronic schizophrenia.Methods 25 senile inpatients with chronic schizophrenia whose serial stay in hospital was over 5 years and whose age was over 60 and whose disease course was over 11 years received a 6-month basic life nursing and training.And all the inpatient were evaluated with Nurses Observation Scale for Inpatient Evaluation (NOSIE) and Senile Clinical Assessment Geriatric (SCAG) before and after the treatment.Results NOSIE and SCAG assessments before and after nursing and training had a significant difference (P<0.001). Each symptoms and abilities had obvious improvements.Conclusion Basic nursing and training improved mental symptoms and life qualities of patients with chronic schizophrenia who had a long stay in hospital and a long disease course and an old age. ......