对精神病人进行心理健康教育的康复疗效观察

Efficacy of Rehabilitation on Mental Health Education in Patients with Mental Disorders

摘要: 目的：观察心理健康教育对精神病人的康复疗效。方法：采用随机对照法将100例精神病人分为研究组和对照组各50例，按规定的程序对患者进行心理健康教育，疗效评估应用临床疗效总评量表(CGI)、护士观察量表(NOSIE)、社会功能缺陷筛查量表(SDSS)和自制的健康教育评价量表(JKJY)进行入院和出院时评定，随访两年观察复发率，统计采用t检验和卡方检验。结果：研究组和对照组入院时量表评定结果差异无显著性；而出院时量表评定结果存在非常显著性差异p < 0.01；研究组病人的社会功能保持良好，两年复发率也明显低于对照组p < 0.01。结论：对精神病人实施心理健康教育具有一定的康复效果，应积极大力推广。

Abstract: Objective: To observe the efficacy of rehabilitation on mental health education in patients with mental disorders. Methods: 100 patients with mental disorders were randomly divided into study group (n = 50) and control group (n = 50). The patients were subjected to mental health education according to the provisions. The efficacy was assessed by using Clinical Global Impression Scale (CGI), Nurses Observation Scale (NOSIE), Social Disability Screening Scale (SDSS) and self-made Health Education Scale (JKJY) on admission and discharge. The recurrence rate of patients was observed during the two years of the follow-up period. Statistical analysis was performed using t test and chi-square test. Results: There was no significant difference between study group and control group about scale rating on admission, but significant difference on discharge (p < 0.01). Compared to control group, social function of patients remained well in study group, and a lower recurrence rate was observed during the two years of the follow-up period (p < 0.01). Conclusion: It had the potential rehabilitation to implement mental health education in patients with mental disorders. Therefore, we should vigorously promote it.