认知行为疗法在精神分裂症患者病情康复中的应用  

The application of cognitive behavioral therapy on the rehabilitation of schizophrenia patient＇s condition

作　　者：宋文英[1] 

机构地区：[1]四川省攀枝花市第三人民医院,617061

出　　处：《国际护理学杂志》2013年第12期2686-2688,共3页international journal of nursing

摘　　要：目的探讨认知行为疗法对精神病患者病情康复的影响。方法将60例精神分裂症患者随机分为观察组和对照组各40例，两组治疗方法相同，对照组给予常规护理，观察组在对照组的基础上给予认知行为疗法，比较两组患者的生活质量、社会功能和康复效果。结果干预12个月后，观察组在生理、心理以及社会关系等生活质量等方面的评分显著高于对照组，差异有统计学意义（P〈0．05）。观察组在日常生活能力、社会技能、动性和交往等社会功能方面的得分显著高于对照组，差异有统计学意义（P〈0．05）。观察组PANSS的阴性症状得分显著低于对照组，差异有统计学意义（P〈0．05）。结论认知行为疗法能够显著改善精神分裂症患者的阴性症状，促进其精神康复，提高社会功能和生活质量。Objective To explore the effect of cognitive behavior therapy on the condition of mental patients. Methods A total of 60 patients with schizophrenia were randomly divided into the observation group and the control group, they were given the same treatment methods, the control group was given conventional nursing, the observation group was received cognitive behavioral therapy based on the con- trol group, two groups were compared with life quality, social function and rehabilitation effect. Results After 12 months intervention, life quality scores in physiological, psychological and social relationship in the observation group were significantly higher than those in the con- trol group （P 〈 0.05） . Social function in daily living skills, social skills, and communication in the observation group were significantly higher than those in the control group （ P 〈 0.05 ） . PANSS negative symptoms in the observation group was significantly lower than that in the control group （ P 〈 0. 05 ） . Conclusions Cognitive behavior therapy can improve the negative symptoms of schizophrenia i promote their mental rehabilitation, and improve social function and life quality.

关 键 词：认知行为疗法 精神分裂症 病情康复 生活质量 

分 类 号：R473.74[医药卫生—护理学]