Foruzandeh Nasrin, Parvin Neda
Faculty of Nursing and Midwifery, Shahrekord University of Medical Sciences, Rahmatieh, Shahrekord, Iran.
Jpn J Nurs Sci. 2013 Jun;10(1):136-41. doi: 10.1111/j.1742-7924.2012.00211.x. Epub 2012 Apr 27.
People with schizophrenia tend to experience difficulties in social and cognitive function, self-care, residual negative symptoms, high rates of unemployment, and social exclusion. Occupational therapy has contributed to the treatment and rehabilitation of people with severe mental health problems. Therefore, this study investigated the effects of occupational therapy on symptoms of patients with schizophrenia.
This survey was an experimental study in which positive and negative symptoms of patients with schizophrenia were assessed with a scale for the assessment of positive and negative symptoms (SANS, SAPS, respectively). The study was conducted in Sina Hospital, Shahrekord, Iran. The samples consisted of patients with schizophrenia who were divided randomly into intervention and usual treatment groups (30 patients in each group). The occupational therapy was performed in the intervention group for 18 h/week for 6 months. SANS and SAPS were assessed at the beginning and after 6 months of treatment.
The groups were homogeneous in demographic variables, SANS and SAPS scores at baseline. The occupational therapy group showed significant improvement in the total score for the SANS and SAPS at 6 months (P<0.001), but the control group did not show any significant improvement.
The results of this study indicated that occupational therapy combined with medications can improve the symptoms of schizophrenia.
精神分裂症患者在社交和认知功能、自我护理、残留阴性症状、高失业率及社会排斥方面往往存在困难。职业治疗有助于严重精神健康问题患者的治疗与康复。因此，本研究调查了职业治疗对精神分裂症患者症状的影响。
本调查为一项实验研究，使用阳性与阴性症状评定量表（分别为SANS、SAPS）评估精神分裂症患者的阳性和阴性症状。研究在伊朗设拉子沙赫雷克德的西纳医院进行。样本为精神分裂症患者，随机分为干预组和常规治疗组（每组30例患者）。干预组进行为期6个月、每周18小时的职业治疗。在治疗开始时及6个月后评估SANS和SAPS。
两组在人口统计学变量、基线时的SANS和SAPS评分方面具有同质性。职业治疗组在6个月时SANS和SAPS总分有显著改善（P<0.001），但对照组未显示出任何显著改善。
本研究结果表明，职业治疗联合药物治疗可改善精神分裂症症状。
