认知行为干预对社区慢性精神分裂症患者康复疗效评估  

Effect of behavior intervention on rehabilitation of chronic schizophrenia patients in community

作　　者：朱建忠[1] 

机构地区：[1]江门市第三人民医院老年三科,529000

出　　处：《国际医药卫生导报》2011年第5期560-563,共4页International Medicine and Health Guidance News

摘　　要：目的探讨认知行为干预对慢性精神分裂症患者的康复疗效。方法将2009年1月-2009年12月间我院收治的精神分裂症患者80例随机分为研究组与对照组，每组40例；所有患者均给予足量、足疗程的抗精神病药物进行治疗，住院治疗3个月；研究组患者在药物治疗3周后增加认知行为治疗，持续12周，出院后持续随访1年，每月集中一次认知干预；对照组仅采用一般随访。于治疗前、治疗1年后采用阴性症状综合征量表、自知力与治疗态度问卷、Morningside康复状态量表、社会功能缺陷筛选量表对患者进行评定，比较两组患者康复情况。结果①治疗前研究组患者PANSS总分为（43．1±3．1）分、MRSS总分为（78．2±18．2）分、SDSS评分为（9．4±2．1）分、ITAQ评分为（73±1．0）分；对照组患者PANSS总分为（45．3±4．1）分、MRSS总分为（80．3±15．8）分、SDSS评分为（10．2±3．2）分、ITAQ评分为（5．2±1．1）分；两组各评分间比较，差异无显著性（P〉0．05）。②治疗1年后研究组PANSS总分为（38．2±2，1）分、MRSS总分为（62．7±19．3）分、SDSS分值为（6．2±2．3）分、ITAQ分值为（15．4±5．1）分；对照组PANSS总分为（44．2±2．7）分、MRSS总分为（76．0±20．6）分、SDSS分值为（9．2±3．2）分，ITAQ分值为（13．2±3．9）分；研究组患者恢复情况明显好于对照组，两组数据差异有显著性（P〈0.05）。结论认知行为干预对慢性精神分裂症患者的康复有一定的促进作用。Objective To explore the effect of cognitive behavioral intervention on rehabilitation of chronic schizophrenia patients. Methods 80 patients were randomly divided into study group and control group. All the patients received a full course of antipsychotic trcatment. The study group received additional cugnitive behavioral therapy 3 weeks after antipsychotic treatment for 12 weeks and was followed up for one year after release from hospital with monthly cognitive behavioral intervention. The patients were assessed using PANSS, MRSS, ITAQ, and SDSS and the rehabilitation status was compared between the two groups. Results Before treatment, the total scores on PANSS, MRSS, SDSS, and ITAQ in the study group were （43.1 ± 3.1）, （78.2 ± 18.2）, （9.4 ± 2.1）, and （7.3 ± 1.0）, respectively; and those in the control group were （45.3 ± 4.1）, （80.3 ± 15.8）, （10.2 ± 3.2）, and （5.2 ± 1.1）. No statistical significances were found （P〉0.05）. One year after treatment, the total scores on PANSS, MRSS, SDSS, and ITAQ in the study group were （38.2 ± 2.1）, （62.7 ± 19.3）, （6.2 ± 2.3）, and （15.4 ± 5.1）, respectively; and those in the control group were （44.2 ± 2.7）, （76.0 ± 20.6）, （9.2 ± 3.2）, and （13.2 ± 3.9）. There were significant differences between the two groups （P〈0.05）. Conclusions Cognitive behavioral intervention plays a role in rehabilitation of chronic schizophrenia patients.

关 键 词：认知行为干预 精神分裂症 疗效 

分 类 号：R74[医药卫生—神经病学与精神病学]