精神分裂症患者出院后认知领悟治疗和家庭教育的意义  

Significance of recognition-insight therapy and family education to schizophrenia patients out of hospital

作　　者：赵淑娟 赵永红 

机构地区：[1]山东省枣庄市立第二医院,277103

出　　处：《中国实用护理杂志（中旬版）》2008年第7期54-56,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨认知领悟治疗和家庭教育对精神分裂症患者康复的作用。方法随机将140例出院精神分裂症患者分为家庭组和对照组各70例。对家庭组患者进行认知领悟治疗和家庭教育，对照组患者仅接受门诊随访。运用简明精神病评定量表（BPRS）、临床疗效总评量表（CGI）、社会功能缺陷筛选量表（SDSS）以及自拟病情调查表分别于第1年末和第3年末对2组患者进行评估。结果第1年末和第3年末家庭组患者各量表评分均显著低于对照组（P〈0．01），治疗依从性均显著高于对照组（P〈0．01）；家庭组患者于第1年末和第3年末的复发率分别为19.4％和32．2％，均显著低于对照组的46．9％和74．5％，P〈0．01；而社会功能良好率（73．1％，62．7％）则显著高于对照组（39．1％。20．0％），P〈0．01。结论认知领悟治疗和家庭教育对促进精神分裂症患者康复预后具有重要作用。Objective The purpose of this trial was to appraise the effects of both recognition-insight therapy and family education on rehabilitation of patients with schizophrenia. Methods 140 outpatients with schizophrenia were randomly divided into two groups （70 patients in each group）. The family group was trained with reeognion-insight therapy and family education while the control group only received services at outpatient department. During a three-year follow-up period, both groups were conformed with the schizophrenic diagnostic criteria of BPRS, CGI, SDSS and the self-made gauge. Results Both at the end of the 1st and the 3rd year, the family group was lower than the control group on scores of every gauge （P 〈 0.01 ）. On the other hand, the therapy compliance of the family group was significantly higher than the control group （P 〈 0.01 ）. Both relapse rates of the end of the 1st year and 3rd year （19.4%, 32.2%） were excessively lower than the control group （46.9%, 74.5%） （P 〈 0.01 ）, while the family group＇s soeial function fine rate （73.1% , 62.7% ） was significantly higher than that of the control group （39.1% , 20.0%） （P 〈 0.01 ）. Conclusion The reeognion-insight therapy and family education performed pivotal role in the rehabilitation of patients with schizophrenia.

关 键 词：精神分裂症 认知领悟治疗 家庭教育 康复 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R749.305[医药卫生—临床医学]