团体心理治疗对住院精神分裂症患者社会功能的影响  

Effect of group psychotherapy on social function in patients with schizophrenia

作　　者：李占敏[1] 李淑芬[2] 李亚静[1] 王新福[1] 任雪梅[1] 王春梅[1] 王茜[1] 徐晓华[1] 赵玉君[1] 邢改书[3] 

机构地区：[1]河北省荣军医院精神科病房,河北保定071000 [2]河北省荣军医院供应室,河北保定071000 [3]河北省荣军医院护理部,河北保定071000

出　　处：《护理学杂志》2015年第11期80-83,共4页

摘　　要：目的探讨团体心理治疗对住院精神分裂症患者社会功能的影响。方法将120例住院精神分裂症患者随机分为研究组和对照组各60例,两组均抗精神病药不变并给予常规护理,在此基础上仅对研究组进行团体心理治疗,共16次主题活动,持续3个月。于干预前、后采用住院精神患者社会功能评定量表(SSPI)、阴性症状量表(SANS)分别对两组进行测定。结果日常生活能力、始动性和交往、社会技能均有改善(P<0.05,P<0.01);两组阴性症状得分均有下降,但差异无统计学意义(P>0.05)。结论团体心理治疗能改善住院精神分裂症患者的社会功能。Objective To explore the effect of group psychotherapy on social function of patients with schizophrenia. Methods Totally 120 eligible hospitalized schizophrenia patients were randomly divided into an experimental group and a control group（60 cases each）. In addition to antipsychotics and routine care given to the both groups, the experimental group was additionally provided with group psychotherapy including 16 theme activities, lasting 3 months. Before and after the intervention, both groups were evaluated using Scale of Social Function for Psychosis Inpatients （SSPI） and Scale for Assessment of Negative Symptoms（SANS）. Results The scores of activities of daily living, initiation and communication, as well as social skills were significandy higher in the experiment group than in the controls after intervention （P〈0.05, P〈0.01）. The negative symptoms scores of both groups de creased, but the difference was not significant（P〉0.05）. Conclusion The group psychotherapy can improve social function of schi- zophrenic patients.

关 键 词：精神分裂症 社会功能 团体心理治疗 日常生活能力 始动性和交往 社会技能 

分 类 号：R473.74[医药卫生—护理学]