系统性干预改善男性精神分裂症患者阴性症状的效果观察  

The effectiveness of intervention intergrated health education, positive reinforcement behavioral therapy, music therapy and exercise on negative symptoms in inpatient with schizophrenia

作　　者：宋光云[1] 刘宜东[1] 李遵清[1] 

机构地区：[1]济宁市精神病防治院,济宁272051

出　　处：《中华行为医学与脑科学杂志》2009年第7期637-639,共3页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：目的探讨改善男性精神分裂症患者阴性症状的干预措施。方法60例以阴性症状为主的男性住院精神分裂症患者随机分为综合性社会心理干预组（30例）和对照组（30例），干预组进行为期8周的以健康教育、行为矫治、心理干预和文体娱乐活动为形式的系统性干预措施，对照组进行精神科常规治疗和护理。采用阴性症状评定量表（SANS）、住院精神病人康复疗效评定量表（IPROS）综合评价精神分裂症患者阴性症状的改善效果。结果治疗前，SANS、IPROS评分，2组差异无显著性[（60．42±20．83）分，（64．47±29．45）分；（36．81±10．47）分，（36．67±10．84）分；P〉0．05]；治疗后，IPROS、SANS评分，观察组明显优于对照组，2组比较差异有显著性[（43．68±20．11）分，（61．37±29．43）分；（18．09±7．60）分，（26．62±13．48）分；P〈0．01]。结论以健康教育、行为矫治、心理干预和文体娱乐活动为形式的系统性干预措施能够改善精神分裂症患者的阴性症状，促进其康复。Objective To explore the effectiveness of intervention measure intergrated health education, positive reinforcement behavioral therapy, music therapy and exercise on the negative symptoms in the inpatient with schizophrenia. Methods Sixty waning inpatients with schizophrenia were randomly divided into intergral intervention group（30 cases） and control group （30 people ）. The intergral intervention group were treated with health education, positive reinforcement behavioral therapy, music therapy and exercise, that lasted 8 weeks, and control group received ordinary rehabilitation treatment. The effectiveness of the measures were evaluated by scale for the Assessment of Nagative Symptoms （ SANS ） and IPROS scales before and after the intergral intervention. Results The scores of SANS and IPROS in the intergral intervention group were significant lower than those in the control group after the intergral intervention[ 43.68 ± 20.11,61.37 ± 29.43 ; 18.09 ± 7.60,26.62 ± 13.48 ; P 〈 0.01 ] , while the scores showed no difference before the intergral intervention [ 60.42 ± 20.83,64.47 ± 29.45 ; 36.81 ±10.47,36.67 ±10.84; P〉0.05]. Conclusions The intervention intergrated health education,positive reinforcement behavioral therapy, music therapy and exercise could improve negative symptoms and social function of the inpatient with schizophrenia.

关 键 词：精神分裂症 健康教育 心理干预 阴性症状 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R197.323[医药卫生—临床医学]