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| Effect of multidimensional rehabilitation model on soldiers with schizo- phrenia |
| LI Wenjuan1 MENG Wenfeng2 ZHAO Chunhai3 CUI Yicong4 WANG Feng5▲ |
1.Word Four, Department of Psychiatric, No.984 Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army, Beijing 100094, China; 2.Word Two, Department of Psychiatric, No.984 Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army, Beijing 100094, China; 3.Department of Integrated Chinese and Western Medicine, No.984 Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army, Beijing 100094, China;
4.Department of Digestive Internal Medicine, No.984 Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army, Beijing 100094, China;
5.Psychological Crisis Intervention Center, No.984 Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army, Beijing 100094, China |
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Abstract Objective To explore the effect of multidimensional rehabilitation model on soldiers with schizophrenia. Methods Retrospective analysis was conducted on 80 patients with schizophrenia in the military who were admitted to a hospital from June 2015 to June 2018, according to the nursing methods of patients, they were divided into observation group and control group. The control group received routine rehabilitation mode, and the observation group received multi-dimensional rehabilitation mode. Social deficiency screening scale (SDSS) scores, family burdening scale (FIS) scores, nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF) and insulin-like growth factor 1 (IGF-1) scores were compared between the two groups before and 1, 2 years after rehabilitation. Results Overall analysis showed that there were statistically significant differences in SDSS and FIS scores, time point comparison and interaction (P ＜ 0.05). Further pair comparison, intra-group comparison: SDSS and FIS scores 1, 2 years after rehabilitation in both groups were lower than before, and SDSS and FIS scores two years after rehabilitation in each group were lower than one year after rehabilitation (P ＜ 0.05). Comparison between groups: SDSS and FIS scores of observation group were lower than those of control group 1, 2 years after recovery (P ＜ 0.05). Overall analysis showed that there were statistically significant differences in IGF-1, BDNF and NGF levels between groups, time point comparison and interaction (P ＜ 0.05). Further pair-to-group comparison: IGF-1, BDNF and NGF levels 1, 2 years after rehabilitation in two groups were higher than before, and IGF-1, BDNF and NGF levels two years after rehabilitation were higher than one year after rehabilitation (P ＜ 0.05). Comparison between groups: The levels of IGF-1, BDNF and NGF in observation group were higher than those in control group 1, 2 years after recovery (P ＜ 0.05). Conclusion The effect of multi-dimensional rehabilitation model on military schizophrenic patients is remarkable, which can improve the current brain nutrition index.
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[1] Pereda M,Casado R, Garay M, et al. Subjective Dimension of Cognitive Deficit in People With Schizophrenia and Schizoaffective Disorder [J]. Am J Psychiatr Rehabil，2020， 21（1）：16-32.
[2] 吴晓优，土文珍，林小容，等.认知行为疗法对首发精神分裂症康复期患者糖脂代谢及临床疗效的影响[J].浙江医学，2020，42（10）：1073-1075.
[3] 刘宗辉.团体式自我肯定干预对精神分裂症患者自尊、病耻感的影响[J].护理实践与研究，2020，17（16）：153-155.
[4] 朴轶峰，李镔.DSM-5精神障碍分类的新特征[J].神经疾病与精神卫生，2015，15（1）：81-83.
[5] 王维，张勇辉，黄芹，等.奥尔夫音乐治疗对精神分裂症康复患者的作用[J].重庆医学，2017，46（5）：683-684.
[6] 包炤华.社区精神分裂症患者综合性康复干预的效果评价[J].中国康复，2016，31（5）：331-334.
[7] 王西建，亢晓燕，焦宁波，等.社区康复训练对慢性精神分裂症患者的效果观察[J].国际精神病学杂志，2017，44（1）：37-39.
[8] 胡雪梅，王秀芹，尹竹芳，等.自我角色认同护理干预对康复期精神分裂症患者的影响[J].齐鲁护理杂志，2019， 25（23）：28-31.
[9] 王云仙，姜杨，莫慧娟，等.精神康复群组管理模式对慢性精神分裂症患者生活技能及住院生活质量的影响[J].浙江临床医学，2020，22（2）：231-232，235.
[10] 董美芝.康复群组管理在精神分裂症患者社会功能和生活技能中的应用[J].国际护理学杂志，2020，39（7）：1324-1326.
[11] 张丽君，林翠绿，叶鑫武，等.社会认知交互训练在精神分裂症住院患者康复中的应用[J].温州医科大学学报，2019，49（11）：846-849.
[12] Buonocore M，Bosinelli F，Bechi M，et al. The role of premorbid adjustment in schizophrenia：Focus on cognitive remediation outcome [J]. Neuropsychol Rehabil，2019， 29（10）：1611-1624.
[13] 王凌玲，邱亚萍，郦兆栋，等.家属参与式护理对精神分裂症患者康复影响的研究[J].重庆医学，2020，49（2）：215-218.
[14] 唐慧.思维导图引导式训练对精神分裂症患者社会功能及生活质量的影响[J].临床与病理杂志，2020，40（5）：1223-1227.
[15] 容彩莲，徐小丽，卢月芝，等.自我角色认同护理干预对首发精神分裂症康复期患者的影响[J].齐鲁护理杂志，2020，26（9）：110-112.
[16] 刘玥.户外有氧运动结合精神康复治疗对住院慢性精神分裂症患者精神康复的影响[J].神经疾病与精神卫生，2019，19（10）：954-959.
[17] 宋兴伟，任朝晖.人文关怀在恢复期精神分裂症护理中的应用效果[J].国际精神病学杂志，2019，46（4）：152-154，161.
[18] 曹志丹，胡雁真，王蕾，等.Orem自护模式及其在精神分裂症护理中评估工具的应用进展[J].护士进修杂志，2020，35（7）：629-632.
[19] 刘英，张凯，胡江.全程康复护理对精神分裂症恢复期病耻感及心理状况的影响[J].海南医学，2019，30（17）：2297-2299.
[20] 范喜英，吴月婵，张玲，等.改良森田疗法在精神分裂症缓解期患者康复护理中的应用效果[J].广西医学，2018， 40（6）：713-715，722.
[21] 郭正军，郭玉敏，姚丰菊，等.社区综合干预模式对精神分裂症患者康复效果的影响研究[J].中国全科医学，2018， 21（4）：471-475.
[22] 沈燕敏，王玲，闵海瑛，等.Orem自护模式对慢性精神分裂症患者自理能力及康复效果的影响分析[J].中国急救医学，2018，38（5）：275.
[23] 李玉华.优质护理干预对精神分裂症患者危险性行为，生活质量和社会功能的影响[J].现代中西医结合杂志，2019，28（36）：4074-4077.
[24] 黄素媚，毕建华.工娱干预在康复期精神分裂症患者中的应用效果[J].中国当代医药，2019，26（31）：225-228.
[25] 袁素丽，朱春燕.综合心理治疗及干预对康复期精神分裂症患者社会功能的影响[J].中国现代医生，2019，57（26）：143-146.
[26] 袁素丽，朱春燕.康复期精神分裂症患者焦虑抑郁情绪的综合护理干预效果探讨[J].中国现代医生，2019，57（20）：157-160.
[27] 黄春蓉，傅育敏.综合康复护理对女性慢性精神分裂症患者HAMA、HAMD评分及用药依从性的影响[J].现代中西医结合杂志，2018，27（30）：3404-3406.
[28] 陈丽，窦丽萍.比较心理护理对首发精神分裂症及慢性精神分裂症的康复作用[J].山西医药杂志，2018，47（10）：123-126. |
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