人类职能模式康复训练对缓解期精神分裂症患者心理资本及病耻感的影响

姚国利; 陈琳霞; 马灵亚

doi:10.16766/j.cnki.issn.1674-4152.004136

人类职能模式康复训练对缓解期精神分裂症患者心理资本及病耻感的影响

doi: 10.16766/j.cnki.issn.1674-4152.004136

1.
绍兴市第七人民医院精神科, 浙江绍兴 312000
2.
绍兴市第七人民医院质控科
3.
绍兴市第七人民医院公卫科

基金项目:

浙江省医药卫生科技计划项目 2022ZH062

详细信息

通讯作者:
姚国利，E-mail：cxdnzs888@163.com

中图分类号: R749.3
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- 文章访问数: 6
- HTML全文浏览量: 5
- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2025-02-10
- 网络出版日期: 2025-10-31

The impact of human functional rehabilitation training on the psychological capital and shame of patients with schizophrenia in remission period

1.
Department of Psychiatry, Shaoxing Seventh People's Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的精神分裂症患者在缓解期仍面临心理和社会功能恢复的挑战，传统的康复方法在提升心理资本和降低病耻感方面效果有限。本研究构建人类职能模式康复训练模式，分析其对缓解期精神分裂症患者心理资本及病耻感的影响，为精神分裂症患者康复提供新的干预手段。方法选取2023年1月—2024年12月绍兴市第七人民医院收治的197例缓解期精神分裂症患者作为研究对象，采用随机数字表法分为对照组(98例)和观察组(99例)。对照组患者应用常规康复训练，观察组应用人类职能模式康复训练，2组患者均连续干预1个月。比较2组患者干预前后心理资本及病耻感水平。结果干预后，2组患者积极心理资本量表(PPQ)得分均有所提高，观察组患者总分为(118.96±12.35)分，高于对照组[(102.73±15.42)分，F=11.153，P＜0.001]。干预后，观察组患者病耻感量表中文版(SSMI-C)总分为(45.67±5.75)分，低于对照组[(53.97±8.02)分，F=8.376，P＜0.001]。结论人类职能模式康复训练能够显著缓解精神分裂症患者的病耻感，同时有效提升其自我效能感、希望感、韧性及乐观性等积极心理资本水平，从而促进患者的全面康复。
- 精神分裂症 /
- 人类职能模式康复训练 /
- 缓解期 /
- 心理资本 /
- 病耻感
Abstract: Objective Schizophrenia patients continue to grapple with the repercussions of their condition during periods of remission, they encounter significant challenges in terms of their psychological and social well-being. Conventional rehabilitation methodologies have been found to be ineffective in enhancing psychological capital and reducing feelings of shame. The present study proposes a novel human functional rehabilitation training model, the impact of which on the psychological capital and shame of schizophrenia patients in remission is then analyzed. This analysis provides new intervention methods for schizophrenia rehabilitation. Methods The present study selected 197 patients with schizophrenia in remission who were admitted to Shaoxing Seventh People ' s Hospital from January 2023 to December 2024 as subjects for a research study. The subjects were randomly divided into two groups: a control group (n=98) and an observation group (n=99). The control group received routine rehabilitation training, while the observation group received human functional rehabilitation training. Both groups were the recipients of continuous intervention for one month. A comparison should be made of the psychological capital and shame levels of two groups of patients before and after intervention. Results Following the implementation of the intervention, both patient groups demonstrated an increase in positive psychological capital scale (PPQ) scores. However, the total score of the observation group was found to be (118.96±12.35) points, which exceeded that of the control group [(102.73±15.42) points]. This discrepancy was found to be statistically significant (F=11.153, P < 0.001); After intervention, the total score of the Chinese version of the shame scale for patients with mental disorders (SSMI-C) in the observation group was found to be (45.67±5.75) points. This result was lower than that of the control group, which was (53.97±8.02) points. The difference between these two groups was statistically significant (F=8.376, P < 0.001). Conclusion Human functional model rehabilitation training can significantly alleviate the stigma of schizophrenia patients, and at the same time effectively enhance their positive psychological capital levels such as self-efficacy, hope, resilience and optimism, thereby promoting the comprehensive recovery of patients.
- Schizophrenia /
- Human functional model rehabilitation training /
- Relief period /
- Psychological capital /
- Stigma

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表 1 2组缓解期精神分裂症患者一般资料比较

Table 1. Comparison of general data between two groups of schizophrenia patients in remission

项目	对照组(n=98)	观察组(n=99)	统计量	P值
性别(例)			0.612^a	0.434
男性	54	60
女性	44	39
年龄(x±s，岁)	40.72±4.66	41.36±4.28	1.004^b	0.317
受教育年限(x±s，年)	12.28±3.11	12.37±3.09	0.204^b	0.839
精神分裂家族史(例)			0.089^a	0.766
有	22	24
无	76	75
婚姻状况(例)			0.560^a	0.756
已婚	38	36
未婚	46	45
离异/丧偶	14	18
药物剂量(x±s，mg/d)
奥氮平	13.64±3.29	13.70±3.36	0.127^b	0.899
利培酮	3.74±0.67	3.78±0.72	0.404^b	0.687
注：^a为χ²值，^b为t值。

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表 2 2组缓解期精神分裂症患者心理资本水平比较(x±s，分)

Table 2. Comparison of psychological capital levels between two groups of schizophrenia patients in remission (x±s, points)

组别	例数	自我效能		韧性		乐观		希望		总分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	98	26.02±4.11	27.33±4.73^b	22.97±3.68	24.01±3.79^b	22.03±3.49	24.81±4.01^b	21.39±3.17	23.52±4.10^b	95.05±11.28	102.73±15.42^b
观察组	99	25.83±3.86	30.16±3.59^b	23.14±3.94	28.77±3.42^b	21.57±3.44	27.95±3.26^b	20.88±2.94	27.85±3.54^b	93.76±12.96	118.96±12.35^b
统计量		0.377^a	6.722^c	0.313^a	5.583^c	0.932^a	7.112^c	1.171^a	6.409^c	0.745^a	11.153^c
P值		0.707	＜0.001	0.755	＜0.001	0.353	＜0.001	0.243	＜0.001	0.457	＜0.001
注：^a为t值，^c为F值；与同组干预前比较，^bP＜0.05。

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表 3 2组缓解期精神分裂症患者病耻感水平比较(x±s，分)

Table 3. Comparison of stigma levels between two groups of schizophrenia patients in remission (x±s, points)

组别	例数	歧视		病情掩饰		积极效应		总分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	98	22.46±5.12	21.77±4.28	18.02±4.13	17.21±3.59	13.24±3.20	13.03±2.95	54.83±8.75	53.97±8.02
观察组	99	23.05±5.03	16.03±3.41^b	17.59±4.24	15.03±3.12^b	13.33±3.18	11.18±2.46^b	55.12±8.24	45.67±5.75^b
统计量		0.816^a	4.830^c	0.721^a	3.796^c	0.198^a	4.104^c	0.239^a	8.376^c
P值		0.416	＜0.001	0.472	0.001	0.843	＜0.001	0.811	＜0.001
注：^a为t值，^c为F值；与同组干预前比较，^bP＜0.05。

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