音乐治疗对慢性精神分裂症患者康复疗效研究  

Study on the Effects of Music Therapy on Rehabilitation of Patients with Chronic Schizophrenic

作　　者：朱华[1] 王凯[1] 李丽红[1] 宋平[1] 赵蓉[1] 谢延[1] 廖万威[1] 刘青[1] 

机构地区：[1]深圳市福田区慢性病防治院精神卫生科,广东深圳518048

出　　处：《实用预防医学》2012年第7期989-991,共3页Practical Preventive Medicine

基　　金：深圳市福田区卫生系统公益性科研项目(FTWS201149)

摘　　要：目的探讨音乐治疗对社区慢性精神分裂症患者的生活质量及抑郁焦虑情绪的影响。方法将社区慢性精神分裂症患者随机分成音乐治疗组和常规精神科治疗组,分别为81例。音乐治疗组除精神科常规药物维持治疗外给予8周音乐治疗,两组治疗前后分别采用生活质量评定综合问卷(GQOLI-74)评定2组患者的生活质量,用抑郁自评量表(SDS)和焦虑自评量表(SAS)评定2组患者的抑郁焦虑情绪。结果经音乐治疗8周后,患者在除住房、社区服务、生活环境和经济状况外的其他16个因子分、躯体功能、心理功能、社会功能3个维度分和总分上,均明显高于音乐治疗前(P<0.05);在8周后与常规精神科治疗组比较,除住房、社区服务、生活环境、经济状况4个因子分和物质生活状态维度分外,其他各项得分均高于常规治疗组(P<0.05)。结论音乐治疗有利于社区慢性精神分裂症患者的生活质量的提高及缓解抑郁焦虑情绪。Objective To explore the influence of music therapy on the quality of life,depression and anxiety of chronic schizophrenic patients in community.Methods A total of 162 chronic schizophrenic patients in the community of Futian District of Shenzhen were randomly divided into two groups,the music therapy group and the control group,with 81 cases for each group.The patients in the control group continued the psychiatric routine drug maintenance therapy,while those in the music therapy group received additional music therapy.Before and after 8-week treatment,the quality of life of the patients were assessed by the General Quality of Life Inventory（GQOLI-74）,and the depression and anxiety were evaluated by the Self-rating Depression Scale（SDS） and the Self-rating Anxiety Scale（SAS）.Results After 8-week treatment with music,compared with the same group before treatment or compared with the control group with 8-week routine treatment,the patients in the music therapy group had significant increases（P0.05）in scores of 16 out of 20 factors（except factors like housing,community service,living environment and economic status）,in scores of 3 dimensions（including body function,psychological function and social function）,and the total scores.Conclusions The music therapy is helpful to improve the quality of life and relieve the depression and anxiety of chronic schizophrenic patients in community.

关 键 词：慢性精神分裂症 音乐治疗 生活质量 

分 类 号：R749.05[医药卫生—神经病学与精神病学]