社会技能训练改良技术在精神分裂症患者中的应用(1)
[摘要] 目的 評价社会技能训练改良技术在精神分裂症患者中的应用价值并对其进行短期随访。 方法 选择宁波市康宁医院精神科2016年1月～2017年5月收治的80例精神分裂症患者为本次研究对象，采用EpiInfo(2000版)将患者随机分为对照组40例与观察组40例。对照组仅服用抗精神分裂药物，观察组在对照组基础上加行社会技能训练改良技术，干预结束后对比两组患者阳性与阴性症状评分量表(PANSS)评分、精神患者社会功能评定量表(SSPI)评分与简易人格问卷(NEO-FFI)评分，进行为期6个月随访，再次对比数据结果。 结果 干预结束后：PANSS评分两组患者阳性症状与一般症状方面数据比较，差异无统计学意义(P>0.05)，阴性症状与对照组比较，差异有统计学意义(P<0.05);SSPI评分各方面均有统计学意义(P<0.05);NEO-FFI评分两组患者(N)、(E)、(A)、(C)数据比较差异均有统计学意义(P<0.05)。随访6个月：PANSS评分观察组3项症状评分均低于对照组，数据差异有统计学意义(P<0.05);SSPI评分各方面均有统计学意义(P<0.05);NEO-FFI评分两组患者(N)、(E)、(A)、(C)数据比较差异均有统计学意义(P<0.05)。 结论 对精神分裂症患者开展社会技能训练改良技术能够显著改善患者阴性症状，提升社会功能及稳定人格特征，值得临床应用与基层医院推广。
[关键词] 社会技能;精神分裂症;社会功能;人格特征
[中图分类号] R749.3 [文献标识码] B [文章编号] 1673-9701(2019)16-0102-05
[Abstract] Objective To evaluate the application value of improvement techniques in social skills training in the patients with schizophrenia and to carry out short-term follow-up for the patients. Methods 80 patients with schizophrenia who were admitted to the Department of Psychiatry in Kangning Hospital of Ningbo from January 2016 to May 2017 were selected as study subjects. The patients were randomly assigned to the control group of 40 patients and the observation group of 40 patients using EpiInfo(2000 version). The control group was only given anti-schizophrenic drugs. The observation group was further given improvement techniques in social skills training on the basis of the control group. After the intervention， the positive and negative symptom score scale(PANSS) scores， the psychiatric patient social function rating scale(SSPI) scores and the simple personality questionnaire(NEO-FFI) scores were compared between the two groups. The follow-up was carried out for 6 months and the results were compared again. Results After the intervention， the PANSS scores of the positive symptoms and the general symptoms were compared between the two groups， and the differences were not statistically significant(P>0.05). The negative symptoms were compared with those in the control group， and the differences were statistically significant(P<0.05); there were statistically significant differences in all aspects of SSPI scores(P<0.05); there were statistically significant differences between the two groups in(N)， (E)， (A) and (C) based on the NEO-FFI scores(P<0.05). After the 6-month follow-up： the scores of three symptom in the PANSS in the observation group were lower than those in the control group， and the differences were statistically significant(P<0.05); there were statistically significant differences in all aspects of SSPI scores(P<0.05); there were statistically significant differences between the two groups in (N)， (E)， (A) and (C) based on the NEO-FFI scores(P<0.05). Conclusion The improvement techniques in social skills training for the patients with schizophrenia can significantly improve the negative symptoms of patients， improve social function and stabilize personality characteristics， which is worthy of clinical application and promotion in primary hospitals., http://www.100md.com(刘灵江 刘会国 胡坚强 杜香菊)
[关键词] 社会技能;精神分裂症;社会功能;人格特征
[中图分类号] R749.3 [文献标识码] B [文章编号] 1673-9701(2019)16-0102-05
[Abstract] Objective To evaluate the application value of improvement techniques in social skills training in the patients with schizophrenia and to carry out short-term follow-up for the patients. Methods 80 patients with schizophrenia who were admitted to the Department of Psychiatry in Kangning Hospital of Ningbo from January 2016 to May 2017 were selected as study subjects. The patients were randomly assigned to the control group of 40 patients and the observation group of 40 patients using EpiInfo(2000 version). The control group was only given anti-schizophrenic drugs. The observation group was further given improvement techniques in social skills training on the basis of the control group. After the intervention， the positive and negative symptom score scale(PANSS) scores， the psychiatric patient social function rating scale(SSPI) scores and the simple personality questionnaire(NEO-FFI) scores were compared between the two groups. The follow-up was carried out for 6 months and the results were compared again. Results After the intervention， the PANSS scores of the positive symptoms and the general symptoms were compared between the two groups， and the differences were not statistically significant(P>0.05). The negative symptoms were compared with those in the control group， and the differences were statistically significant(P<0.05); there were statistically significant differences in all aspects of SSPI scores(P<0.05); there were statistically significant differences between the two groups in(N)， (E)， (A) and (C) based on the NEO-FFI scores(P<0.05). After the 6-month follow-up： the scores of three symptom in the PANSS in the observation group were lower than those in the control group， and the differences were statistically significant(P<0.05); there were statistically significant differences in all aspects of SSPI scores(P<0.05); there were statistically significant differences between the two groups in (N)， (E)， (A) and (C) based on the NEO-FFI scores(P<0.05). Conclusion The improvement techniques in social skills training for the patients with schizophrenia can significantly improve the negative symptoms of patients， improve social function and stabilize personality characteristics， which is worthy of clinical application and promotion in primary hospitals., http://www.100md.com(刘灵江 刘会国 胡坚强 杜香菊)