康复技能训练对精神分裂症患者自信心和自尊影响研究.docx

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康复技能训练对精神分裂症患者自信心和自尊影响研究

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摘要目的：探讨康复技能训练对精神分裂症患者自信心和自尊影响。方法：将236例恢复期精神分裂症患者随机分为研究组120例和对照组各116例。两组患者在药物治疗和传统康复的基础上，对照组实施每日上、下午各一次的室外集体康复，研究组实施开放治疗，并根据病人的喜好分到开心厨房组、超市组、多媒体组、洗车组、保洁组、手工组、养殖组和种植组等。于治疗前和治疗后半年分别采用自信心评定量表和自尊量表（SES）进行评定临床效果。结果：研究组通过系统康复技能训练后，与对照组相比较，自信心和自尊量表（SES）评分均显著高于对照组（P＜0.01）。结论：系统的康复技能训练有助于提高恢复期精神分裂症患者的自信心和自尊水平，尽早地回归家庭、社会，提高其生活质量，并有效降低疾病复发率和致残率。

关键词康复技能训练；精神分裂症；自信心；自尊；

RehabilitationSkillsTrainingofself-confidenceandself-esteemeffectonpatientswithschizophrenia

ZengHuiqun，JiangGuifangDengXiaohong(ZigongMentalHealthCenter,Zigong,643020,Sichuan,China）

[Abstract]ObjectiveExploretheimpactofself-confidenceandself-esteemskillstrainingforrehabilitationofpatientswithschizophrenia.MethodsThe236casesofconvalescentschizophrenicpatientswererandomlypidedinto116caseseachstudygroupof120patientsandacontrolgroup.Twogroupsofpatientsonthebasisofdrugtreatmentandrehabilitationontradition,ontheimplementationofthecontrolgroupdaily,afternoonoutdoorcollectiverehabilitationofalltime,theresearchgroupimplementationofopentreatment,andthepatientspreferencesassignedgrouphappykitchen,supermarketgroup,themultimediagroup,washinggroup,ProcterGamblegroup,manualgroup,breedingandplantinggroupandothergroups.Aftersixmonthsbeforeandaftertreatmentwereusedself-confidenceandself-esteemScaleRatingScale(SES)wereevaluatedclinicalresults.ResultsStudyGroupcomparedthesystemofrehabilitationthroughskillstraining,withthecontrolgroup,self-confidenceandself-esteemScale(SES)scoresweresignificantlyhigher(P0.01).ConclusionRehabilitationskillstrainingsystemhelpstoimproveself-confidenceandself-esteemlevelsofrecoveryofpatientswithschizophrenia,assoonaspossiblereturntothefamily,societyandimprovetheirqualityoflifeandreducetherelapserateanddisability.

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