The rehabilitative value of mental rehabilitation therapy for schizophrenia patients
院内精神康复治疗对长期住院精神分裂症患者的影响

摘要

目的 分析院内精神康复治疗对精神分裂症患者的康复价值。方法 将2024年4月-2025年1月以南通市紫琅医院精神科室收治的60例长期住院精神患者划分30例对照组（奥氮平+佐匹克隆）药物治疗，30例观察组（增加作业疗法等在内的院内精神康复治疗）。对比两组患者治疗前后的症状和自知力评分、治疗后的反社会功能评分、ADL自理能力评分、MoCA评估评分。结果 治疗后，观察组PANSS阳性阴性症状更低，提示观察组精神分裂症症状改善，观察组ITAQ自知力更高，提示观察组态度和自知力增强，且治疗后观察组患者的反社会功能评更低，ADL自理能力评分更低，MoCA评估评分更高，提示观察组患者反社会行为以及自理能力和认知能有改善，对比有统计学意义（P﹤0.05）。结论 院内精神康复治疗可改善精神分裂症患者阳性症状，提高自知力，实现反社会行为的缓解，且同时院内精神康复治疗可促进患者认知提高，自理能力增强，降低医护照护压力。

Abstract

Objective To analyze the rehabilitative value of inpatient psychiatric rehabilitation therapy for patients with schizophrenia.
Methods Among 60 long-term hospitalized psychiatric patients admitted to the Department of Psychiatry of Zilang Hospital in Nantong from April 2024 to January 2025, 30 were assigned to the control group (olanzapine+zopiclone) and 30 to the observation group (augmented withpatient psychiatric rehabilitation therapy including occupational therapy). The symptom and insight scores before and after treatment, the anti-social function score after treatment, the ADL self-care ability score, and the MoCA assessment score were compared between the two groups of patients.
Results After treatment, the PANSS positive and negative symptom scores were lower in the observation, suggesting that the symptoms of schizophrenia in the observation group improved. The ITAQ insight scores were higher in the observation group, suggesting that the attitude and insight of the observation group were. Moreover, after treatment, the anti-social function scores of the observation group patients were lower, the ADL self-care ability scores were lower, and the MoCA assessment were higher, suggesting that the anti-social behaviors and self-care and cognitive abilities of the observation group patients were improved. The comparison was statistically significant (P < 0.5).
Conclusion   Inpatient psychiatric rehabilitation therapy can improve the positive symptoms of schizophrenia patients, enhance insight, and achieve remission of anti-social behaviors. Moreover, in psychiatric rehabilitation therapy can promote patients' cognitive improvement and self-care ability enhancement, and reduce the pressure of medical staff.