认知行为治疗对住院精神分裂症患者康复效果的影响  

Influence of CBT on rehabilitation outcome of hospitalized schizophrenics

作　　者：刘建国[1] 雍生满[1] 徐学兵[1] 张静怡[1] 谢平[1] 徐超[1] 杨巧玲[1] 周永玲[1] 

机构地区：[1]宁夏精神卫生中心宁夏自治区宁安医院,宁夏·灵武750400

出　　处：《临床心身疾病杂志》2015年第1期64-66,共3页Journal of Clinical Psychosomatic Diseases

基　　金：宁夏回族自治区卫生厅重点科研计划资助项目（编号2012087）

摘　　要：目的：探讨认知行为治疗对住院精神分裂症患者康复效果的影响。方法将80例住院精神分裂症患者随机分为两组，均予以精神科常规治疗及护理，研究组在此基础上联合认知行为治疗，观察6周。采用自知力评定量表、护士用住院病人观察量表评定康复效果。结果治疗6周末研究组自知力评定量表各因子分和护士用住院病人观察量表的社会能力、精神病表现、退缩、抑郁因子分均较治疗前显著降低（ P＜0．05或0．01），兴趣爱好、个人卫生因子分较治疗前显著升高（ P＜0．05或0．01），对照组仅部分因子分有显著改善（ P＜0．05或0．01）；研究组各量表评分显著优于对照组（ P＜0．05或0．01）。结论认知行为治疗能显著改善精神分裂症患者的认知功能和行为障碍，有利于促进患者的康复。Objective To explore the influence of cognitive behavior therapy （CBT） on rehabilitation out‐come of hospitalized schizophrenics .Methods Eighty hospitalized schizophrenics were randomly assigned to two groups both receiving routine psychiatric treatment and nursing ,on this basis research group was plus CBT for 6 weeks .Rehabilitation outcomes were assessed with the Scale to Assess Unawareness in Mental Disorder （SAUMD） and Nurses’ Observation Scale for Inpatient Evaluation （NOSIE） .Results After treatment each factor score of the SAUMD as well as social ability ,psychotic manifestation ,with‐drawal and depression score of the NOSIE lowered more significantly （P〈0 .05 or 0 .01） and interest/hob‐bies and individual hygiene heightened （P〈0 .05 or 0 .01） compared with pre‐treatment in research group , in control group only partial factors’ score improved more significantly （P〈 0 .05 or 0 .01）;each scale score was better in research than control group （P〈0 .05 or 0 .01） .Conclusion CBT could notably im‐prove cognitive functions and behavior disorders of schizophrenics and is beneficial to patients’ rehabilita‐tion .

关 键 词：精神分裂症 认知行为治疗 认知功能 社会功能 自知力评定量表 护士用住院病人观察量表 

分 类 号：R749.3[医药卫生—神经病学与精神病学]