共享决策导向的职业培训对精神分裂症患者社会功能恢复的影响
Effects of shared decision-making oriented vocational training on the social function recovery of patients with schizophrenia
投稿时间:2024-08-08  修订日期:2025-04-16
DOI:
中文关键词:  精神障碍  住院患者  共享决策  职业培训  社会功能
英文关键词:Mental disorder  Inpatients  Individualized vocational training  Shared decision-making  Social function
基金项目:2023年成都市医学科研课题立项项目(项目名称:个性化职业技能培训模式对提升住院康复期精神障碍患者自我效能感的研究,项目编号:2023468)
作者单位地址
江春艳 成都市温江区第三人民医院 四川省成都市温江区万春镇万春大道60号
帅久红 成都市温江区第三人民医院 
邓鸿远 成都市温江区第三人民医院 
郑俊华 成都市温江区第三人民医院 
苟春凤 成都市温江区第三人民医院 
杨晓莉 成都市温江区第三人民医院 
童德英 成都市温江区第三人民医院 
冯浩 成都市温江区第三人民医院 
黄霞 成都市温江区人民医院 
高茹* 成都市温江区人民医院 四川省成都市温江区泰康路86号
摘要点击次数:
全文下载次数:
中文摘要:
      精神分裂症的患病率较高,而患者职业功能和社会功能的衰退给患者家庭和社会带来了沉重的负担。共享决策导向的职业培训可提高患者的治疗依从性,改善患者的社会功能。目前关于此类研究报道较少,值得进行探索。目的 探讨共享决策导向的职业培训对住院精神分裂症患者社会功能恢复的影响,以期为患者的康复治疗提供参考。方法 选取2024年1月—6月在成都市温江区第三人民医院住院的、符合《国际疾病分类(第10版)》(ICD-10)精神分裂症诊断标准的68例患者为研究对象,采用随机数字表法分为研究组和对照组各34例。两组均接受常规康复训练,研究组在此基础上接受共享决策为导向的职业培训,为期12周、每周2次、每次2 h。于干预前和干预后,采用一般自我效能感量表(GSES)、精神疾病患者病耻感量表(SSMI)、住院精神病患者社会功能评定量表(SSFPI)、住院精神病人康复疗效评定量表(IPROS)对两组患者进行评定。结果 最终63例患者完成本研究,其中研究组30例、对照组33例。重复测量方差分析结果显示,研究组和对照组GSES、SSMI、SSFPI和IPROS评分的时间效应和交互效应均有统计学意义(F=20.451、16.022;26.193、12.944;23.957、5.023;11.776、3.985,P<0.05或0.01),组别效应无统计学意义(F=0.188、0.742、1.878、0.474,P>0.05)。结论 共享决策导向的职业培训有助于精神分裂症患者社会功能的恢复。
英文摘要:
      Background The prevalence rate of schizophrenia is high, and the decline of occupational function and social function of patients brings heavy burden to patients' families and society. Shared decision-making oriented vocational training can enhance patients' treatment compliance and is conducive to improving their social functions. Currently, there are few reports on such research, which is worth exploring. Objective To explore the application effect of vocational training based on shared decision-making in hospitalized patients with schizophrenia, in order to provide reference for the rehabilitation of patients. Methods A total of 68 patients with schizophrenia who met the diagnostic criteria of the International Classification of Diseases (10th Edition) (ICD-10) and were hospitalized in the Third People's Hospital of Wenjiang District, Chengdu from January to June 2024 were selected as the study objects, and were divided into the study group and the control group with 34 patients in each group by random number table method. Both groups received routine rehabilitation training, and the research group received shared decision-making oriented vocational training for 12 weeks, 2 times a week for 2 hours each time. Before and after intervention, two groups of patients were evaluated by general self-efficacy scale (GSES), Stigma Scale for Patients with Mental illness (SSMI), Social Function Rating Scale for inpatients with Mental Illness (SSFPI), and Rehabilitation Efficacy Rating Scale for inpatients with mental illness (IPROS). Results A total of 63 valid subjects were included in this study. Repeated measurement ANOVA results showed that the temporal and interactive effects of GSES, SSMI, SSFPI and IPROS scores in the study group and the control group were statistically significant (F=20.451, 16.022; 26.193, 12.944; 23.957, 5.023; 11.776, 3.985, P<0.05 or 0.01), there was no statistical significance between groups (F=0.188, 0.742, 1.878, 0.474, P>0.05). Conclusion Shared decision-making oriented vocational training helps to restore social function in patients with schizophrenia.
  查看/发表评论  下载PDF阅读器
关闭