正性强化法对男性慢性精神分裂症患者康复的对照研究  

The comparative study of the positive reinforcement therapy to chronic schizophrenia rehabilitation

作　　者：黄冬琳[1] 向秀珠 杨倩[1] 程芳[1] 

机构地区：[1]安徽省荣军医院,安徽怀远233400

出　　处：《中国民康医学》2009年第5期437-440,共4页Medical Journal of Chinese People’s Health

摘　　要：目的：探讨用正性强化疗法对男性慢性精神分裂症患者的康复作用。方法：以阴性症状为主的慢性精神分裂症男性患者50例，随机分为研究组（25例）和对照组（25例），分别采用正性强化疗法和常规护理，疗程3个月。并用《护士用住院患者观察量表》、《精神分裂症阴性症状量表》和自制正性强化疗法观察量表，于研究前及研究后3个月进行评定。结果：研究组用自制正性强化疗法观察量表和《护士用住院患者观察量表》于研究前和研究后3个月进行比较有显著性差异，而对照组无差异。干预后3个月两组比较，《护士用住院患者观察量表》的社会能力、个人整洁、激惹、迟缓、总积极因子分、总消极因子分、病情总估计等项目评分有显著性差异，而《精神分裂症阴性症状量表》各项评分无差异。结论：正性强化疗法能改善男性慢性精神分裂症的康复。Objective：To explore role of the positive reinforcement therapy to chronic schizophrenia rehabilitation. Methods： 50 male chronic schizophrenics with predominately negative symptoms had been divided into experiment group and control group randomly for 3 months. The experiment group was treated with the positive reinforcement therapy, while the control group only received the regular nursing process. Nurses Observation Scale for Inpatient Evaluation （ NOSIE ） , Scale for Assessment of Negative Symptoms （CANS） and Self - Made Observation Scale for Positive Reinforcement Therapy （SMOSPRT） were used to assess the two groups both＇ before the trial and 3 months after it began. Results ： The experiment group the difference was significant in the Self - Made Observation Scale for Positive Reinforcement Therapy and Nurses＇Observation Scale for Inpatient Evaluation, while the control group the difference was no significant in the Self-Made Observation Scale for Positive Reinforcement Therapy and Nurses＇Observation Scale for Inpatient Evaluation before the trial and 3 months after it began. Between the two groups, the Nurses＇Observation Scale for Inpatient Evaluation indicates that there was significant difference in the items： social competence, personal neatness, irritability, retardation, total negative factors, total positive factors and estimation of diseases, there were no significant difference in the Scale for Assessment of Negative Symptoms 3 months after the trial began. Conclusions： The positive reinforcement therapy could improve chronic schizophrenia rehabilitation.

关 键 词：慢性精神分裂症 正性强化疗法 行为康复护理 

分 类 号：R749.3[医药卫生—神经病学与精神病学]