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目的：评估职业疗法对慢性精神分裂症的疗效。方法：将符合中国精神疾病分类与诊断标准第２版的精神分裂症患者４０例（残留期、衰退期），按入组条件分为职业治疗组和对照组。对治疗组进行为期４个月的系统职业治疗。两组在治疗前和４个月后，使用住院精神病人康复评定量表（ＩＰＲＯＳ）和阴性症状量表（ＳＡＮＳ）评定。结果：治疗组在量表总分、因子分的减分率与对照组比较，均有明显降低，经ｔ检验，有显著性差异（Ｐ＜０．０５或Ｐ＜０．０１）。结论：职业治疗作为非药物治疗慢性精神分裂症有肯定疗效，可改善患者的阴性症状，促进其生活及社会功能的康复。但职业治疗的远期疗效仍待观察。
Objective: To evaluate the effect of occupational therapy on chronic schizophrenia. Methods: Forty patients with schizophrenia who met the second edition of the Chinese Classification of Mental Illnesses and Diagnostic Criteria (residual period, decline period) were divided into occupational therapy group and control group according to the conditions of enrollment group. The treatment group for a period of 4 months of systematic occupational therapy. Both groups were assessed using the In-Hospital Rehabilitation Assessment Scale (IPROS) and Negative Symptom Inventory (SANS) before treatment and after 4 months. Results: The total score of the scale in the treatment group was significantly lower than that in the control group (P <0.05 or P <0.01). Conclusion: Occupational therapy as a non-drug treatment of chronic schizophrenia have a positive effect, can improve the patient’s negative symptoms and promote the rehabilitation of their lives and social functions. However, long-term efficacy of occupational therapy remains to be seen.