摘要
目的探究行为技能训练对流浪救助精神病患者生活自理能力以及生活质量的应用价值。方法方便选择自2019年6月—2020年5月该院收治的101例女性流浪救助精神病患者作为该次的研究对象,采用随机数表法将101例患者分为研究组(n=51)和对照组(n=50),对照组患者进行常规治疗以及院内管理,研究组患者在对照组基础上进行行为技能训练,对比研究组与对照组患者生活自理能力与生活质量的差别。结果治疗后研究组精神病评定量表(BPRS)评分(30.41±3.44)分低于对照组(35.61±3.50)分,差异有统计学意义(t=7.530,P<0.05);研究组康复状态量表(MRSS)评分(30.48±4.16)分低于对照组(43.61±5.34)分,差异有统计学意义(t=13.800,P<0.05);在治疗后研究组社会功能评定量表(SSSI)评分(10.34±2.17)分低于对照组(13.25±2.54)分,差异有统计学意义(t=6.194,P<0.05);研究组日常生活能力评定量表(ADL)评分(13.44±3.52)分低于对照组(17.36±3.72)分,差异有统计学意义(t=5.440,P<0.05);在治疗后研究组(总分)在生活质量综合评定问卷(GQOLI)的物质生活、躯体健康、心理健康、社会功能四个维度得分均高于对照组(总分),差异有统计学意义(t=10.971,P<0.05)。结论对流浪救助精神病患者在常规治疗和院内管理的基础上进行行为技能训练可以提升患者生活自理能力,提高患者生活质量,有明确的临床效果。
Objective To explore the application value of behavior skill training on self-care ability and quality of life of vagrant rescue mental patients.Methods Selected conveniently 101 female vagrant rescued mental patients who were admitted to the hospital from June 2019 to May 2020 as the subjects of this study.The 101 patients were divided into the study group(n=51)and the control group(n=50)using a random number table method.Patients in the control group received conventional treatment and in-hospital management,and patients in the study group received behavioral skills training on the basis of control group.The difference between the self-care ability and quality of life of the study group and the control group was compared.Results After receiving treatment,the psychiatric rating scale(BPRS)score of the study group(30.41±3.44)points was lower than that of the control group(35.61±3.50)points,and the difference was statistically significant(t=7.530,P<0.05);the study group(30.48±4.16)points of rehabilitation status scale(MRSS)score was lower than the control group(43.61±5.34)points,the difference was statistically significant(t=13.800,P<0.05);after treatment,the social function rating scale(SSSI)score of the study group(10.34±2.17)points was lower than that of the control group(13.25±2.54)points,and the difference was statistically significant(t=6.194,P<0.05);the study group's(13.44±3.52)points activity of living rating scale(ADL)score was lower than that of the control group(17.36±3.72)points,and the difference was statistically significant(t=5.440,P<0.05);after treatment,the study group(total score)in the comprehensive quality of life assessment questionnaire(GQOLI)scores on the four dimensions of material life,physical health,mental health,and social function are all higher than the control group(total score),the difference was statistically significant(t=10.971,P<0.05).Conclusion On the basis of routine treatment and hospital management,behavioral skills training for vagrant rescue psychiatric patients can improve their self-care ability and quality of life,which has a clear clinical effect.
作者
黄菁芸
HUANG Jingyun(Seventh Ward,Quanzhou Third Hospital,Quanzhou,Fujian Province,362000 China)
出处
《中外医疗》
2021年第27期121-124,134,共5页
China & Foreign Medical Treatment
关键词
行为技能训练
流浪救助精神病
生活自理能力
生活质量
Behavioral skills training
Vagrant rescue mental illness
Self-care ability
Quality of life
