心理控制源和健康行为训练对精神分裂症康复效果的影响  

The effects of the intervention to control fountain and healthy behavior training upon rehabilitation of patients with schizophrenia

作　　者：刘琳[1] 曾昭祥[1] 岳淑英[1] 卢世臣[1] 

机构地区：[1]济宁市精神病防治院精神科,山东济宁272051

出　　处：《护理管理杂志》2007年第3期7-10,13,共5页Journal of Nursing Administration

摘　　要：目的探讨心理控制源和健康行为训练对精神分裂症患者的康复效果。方法将160例精神分裂症患者随机分为观察组和对照组,各80例,在维持常规治疗基础上,观察组实施心理控制源和健康行为训练,对照组接受常规的健康咨询,为期2年。采用简明精神病量表(the Brief Psychiatric Rating Scale,BPRS)、社会功能缺陷量表(the Social Disability Screening Schedule,SDSS)、护士用住院患者观察量表(Nurse Observation Scale for Inpatient Evaluation-30,NOSIE-30)及生活质量综合评定问卷(the Generic Quality of Life Inventory,GQOLI)分别于训练前后进行评估,并了解其复发率。结果训练前,BPRS、SDSS、NOSIE-30及GQOLI评分两组间比较,差异均无统计学意义(P>0.05);训练后,观察组BPRS、SDSS及总消极因素评分均低于对照组(P<0.01),而病情总估计、总积极因素及GQOLI评分则高于对照组(P<0.01)。2年后复发率观察组低于对照组(P<0.01)。结论心理控制源和健康行为训练有助于改善精神分裂症的精神症状及社会功能,提高其生活质量,降低复发率。Objective To explore effects of the control fountain and healthy behavior training upon rehabilitation of patients with schizophrenia. Methods 160 patients with schizophrenia receiving the routine treatment were randomly divided into observed group and control group. The observed group received control fountain and healthy behavior training with anti - psychotics treatment. The control group received anti - psychotics treatment as well as monthy routine consultation with a doctor. The relating data were collected 2 years later. Results The scores of BPRS,SDSS,NOSIE -30 and GQOLI in the two groups showed no significant difference before the training （P 〉 0.05 ）. At the end of the 2 -year training,the scores of BPRS,SDSS and the negative factors score of the observation group were lower than those of the control group （P 〈 0.01 ） ,while the total score of NOSIE -30 ,the positive factors score and the score of GQOLI of the observation group were higher than those of the control group （P 〈0.01 ）. The rate of recurrence in the observed group was significant lower than that in the control group after two years （P 〈0.01 ）. Conclusions The control fountain and healthy behavior training could improve psychiatric symptoms,social functions and quality of life of patients with schizophrenia ,and reduce the rate of recurrence of schizophrenia.

关 键 词：精神分裂症 心理控制源 健康行为训练 康复 

分 类 号：R473.74[医药卫生—护理学]