Effect of community mental rehabilitation club model on cognitive function and quality of life of first-episode schizophrenics

Huang Yunbo; Zhou Yi

doi:10.3969/j.issn.1009-6574.2019.04.010

Abstract：Objectives? To study the effect of community mental rehabilitation club model on cognitive function and quality of life of first-episode schizophrenia patients. Methods? By convenience sampling method, 160 patients with first-episode schizophrenia in the convalescent stage discharged from Chongqing Mental Health Center from February 2017 to December 2017 were selected as the study subjects. According to the random alphabetical method, they were divided into the study group and the control group, with 80 patients in each group. The patients in the control group received the routine nursing intervention, while the patients in the study group received club-mode rehabilitation training in addition to what the control group received. The severity of illness, cognitive function, and quality of life of schizophrenic patients were assessed with the Positive And Negative Symptoms Scale (PANSS), the Chinese version of the MATRICS Consensus Cognitive Test (MCCB) and the Schizophrenia Quality of Life Scale (SQLS). Results? There was no significant difference in PANSS total score, positive factor score, negative factor score, and general psychopathological symptom score between the two groups before treatment (P＞0.05). After one year of treatment, these scores significantly decreased for both groups (P＜0.05), and the scores of the study group were significantly lower than those of the control group (P＜0.05). There was no significant difference in MCCB scores between the two groups before treatment (P＞0.05). After one year of treatment, the patients' processing speed, attention alertness, working memory, speech learning and memory, visual learning and memory, reasoning and problem-solving ability and social cognitive score significantly improved (P＜0.05), and the scores of the study group were significantly higher than those of the control group (P＜0.05). There was no significant difference in the scores of psychosocial, motivational energy, and symptoms and side effects between the two groups before treatment (P＞0.05). After one year of treatment, these scores significantly decreased (P＜0.05), and the scores of the study group were significantly lower than those of the control group (P＜ 0.05). Conclusions? Community mental rehabilitation club model has good rehabilitation effect for first-episode schizophrenia patients, can significantly improve the symptoms of cognitive impairment and improve the quality of life of patients.