个体化作业治疗对精神分裂症患者作业表现的影响

doi:10.3969/j.issn.1006-9771.2021.06.015

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (6): 724-729.doi: 10.3969/j.issn.1006-9771.2021.06.015

个体化作业治疗对精神分裂症患者作业表现的影响

刘静娅^1,²,张文强³,杨絮^1,²,黄富表^1,²()

^1.中国康复研究中心北京博爱医院作业疗法科，北京市 100068
^2.首都医科大学康复医学院作业治疗教研室，北京市 100068
^3.北京安定医院工疗科，北京市 100088

收稿日期:2020-10-18 修回日期:2020-11-30 出版日期:2021-06-25 发布日期:2021-06-21
通讯作者: 黄富表 E-mail:huangfubiao123@126.com
作者简介:刘静娅(1985-)，女，汉族，北京市人，主管治疗师，主要研究方向：精神疾病的作业治疗、神经系统疾病的作业治疗|黄富表(1983-)，男，汉族，浙江绍兴市人，博士，副主任治疗师，主要研究方向：神经系统疾病的作业治疗，近红外脑功能成像在康复领域中的应用。

Effect of Individualized Occupational Therapy on Occupational Performance of Patients with Schizophrenia

Jing-ya LIU^1,²,Wen-qiang ZHANG³,Xu YANG^1,²,Fu-biao HUANG^1,²()

^1.Department of Occupational Therapy, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
^2.Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
^3.Department of Occupational Therapy, Beijing Anding Hospital, Beijing 100088, China

Received:2020-10-18 Revised:2020-11-30 Published:2021-06-25 Online:2021-06-21
Contact: Fu-biao HUANG E-mail:huangfubiao123@126.com

摘要/Abstract

摘要： 目的

探讨个体化作业治疗对精神分裂症患者作业表现的影响。

方法

2016年至2018年，选取北京安定医院超过1年的住院精神分裂症患者30例，随机分为对照组(n = 15)和试验组(n = 15)。对照组进行常规小组作业活动，试验组实施个体化作业治疗，每次30 min，每天1次，每周5 d，共4周。治疗前后采用综合性作业治疗评估量表(COTE)进行评估。

结果

试验组治疗前后COTE总分差值明显大于对照组(t = 3.842, P < 0.01)，其中人际交往行为与任务行为两个子量表评分差值明显大于对照组(t > 3.106, P < 0.01)。

结论

个体化作业治疗对精神分裂症患者作业表现提高有所帮助。

关键词: 精神分裂症, 个体化作业治疗, 作业表现, 综合性作业治疗评估量表

Abstract: Objective

To explore the effect of individualized occupational therapy on occupational performance of schizophrenic patients.

Methods

From 2016 to 2018, 30 schizophrenic patients hospitalized over one year in Beijing Anding Hospital were randomly divided into control group (n = 15) and experimental group (n = 15). The control group was given routine group work activities, and the experimental group was given individualized occupational therapy, 30 minutes a time, once a day, five days a week for four weeks. The Comprehensive Occupational Therapy Evaluation Scale (COTE) was used to evaluate the occupational performance of schizophrenic patients before and after treatment。

Results

The difference value of COTE score was higher in the experimental group than in the control group (t = 3.842, P < 0.01), especially for interpersonal communication behavior and task behavior (t > 3.106, P < 0.01).

Conclusion

Individualized occupational therapy could improve the occupational performance of patients with schizophrenia.

Key words: schizophrenia, individual occupational therapy, occupational performance, Comprehensive Occupational Therapy Evaluation Scale

中图分类号:

R749.3

刘静娅,张文强,杨絮,黄富表. 个体化作业治疗对精神分裂症患者作业表现的影响[J]. 《中国康复理论与实践》, 2021, 27(6): 724-729.

Jing-ya LIU,Wen-qiang ZHANG,Xu YANG,Fu-biao HUANG. Effect of Individualized Occupational Therapy on Occupational Performance of Patients with Schizophrenia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(6): 724-729.

图/表 3

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组别	n	性别(n)		年龄(岁)	病程(月)
组别	n	男	女	年龄(岁)	病程(月)
对照组	15	6	9	41.93±14.19	24.67±9.31
试验组	15	7	8	37.00±12.74	24.27±10.04
χ²/t值		0.136		1.002	0.113
P值		0.713		0.325	0.911

组别	n	治疗前	治疗后	差值	t值	P值
对照组	15	35.87±15.78	31.13±15.11	-4.73±3.08	5.949	< 0.001
试验组	15	34.67±17.30	25.67±17.53	-9.00±3.00	11.619	< 0.001
t值		0.198	0.915	3.842
P值		0.844	0.368	0.001

组别	n	子量表1	子量表2	子量表3
对照组	15	-2.93±1.49	-0.73±0.96	-1.07±1.71
试验组	15	-3.13±1.73	-2.00±1.25	-3.87±2.03
t值		0.340	3.106	4.085
P值		0.736	0.004	< 0.001

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个体化作业治疗对精神分裂症患者作业表现的影响

Effect of Individualized Occupational Therapy on Occupational Performance of Patients with Schizophrenia

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