全程综合心理行为干预对老年首发精神分裂症患者心理健康、生活质量和社会功能的影响  

Effect of Comprehensive Psychological and Behavioral Intervention on Mental Health,Quality of Life and Social Function in Elderly Patients with First-episode Schizophrenia

作　　者：陈伟荣 梁艳 梁文茵 CHEN Weirong;LIANG Yan;LIANG Wenyin(The Third People＇s Hospital of Maoming City,Maoming 525000,China)

机构地区：[1]广东省茂名市第三人民医院,广东茂名525000

出　　处：《中国医学创新》2018年第23期19-22,共4页Medical Innovation of China

基　　金：茂名市科技计划项目(2017043)

摘　　要：目的:探讨全程综合心理行为干预对老年首发精神分裂症患者心理健康、生活质量和社会功能的影响。方法:选取2014年1月-2016年12月本院收治的首发精神分裂症老年患者250例,按随机数字表法将其分观察组(n=125)和对照组(n=125),对照组进行精神分裂症常规治疗,观察组在常规治疗同时进行全程综合心理行为干预,均随访1年,在干预前后采用症状自评量表(Symptom Checklist 90,SCL-90)评价两组患者的心理健康;采用阴性和阳性症状量表(Positive And Negative Syndrome Scale,PANSS)评价两组患者的精神症状;采用社会功能缺陷筛选量表(Social Disability Screening Schedule,SDSS)对患者的社会功能进行评估,统计分析两组SCL-90、PANSS和SDSS各量表的变化。结果:两组患者干预后SCL-90各维度得分均优于干预前,且观察组干预后均优于对照组(P<0.05)。两组患者干预后PANSS总分、阳性症状、阴性症状及精神病理均较干预前降低,且观察组干预后均较对照组降低(P<0.05)。两组患者干预后SDSS评分均较干预前降低,且观察组干预后均低于对照组(P<0.05)。结论:全程综合心理行为干预可有效改善老年首发精神分裂症患者精神症状、心理健康、生活质量和社会功能,促进患者早日康复。Objective：To explore the effect of comprehensive psychological and behavioral intervention on mental health,quality of life and social function in elderly patients with first-episode schizophrenia. Method：250 cases of first-episode schizophrenia aged from January 2014 to December 2016 were selected,and they were divided into observation group（n=125） and control group（n=125） according to the random number table method.The control group received routine treatment of schizophrenia,the observation group received comprehensive psychological and behavioral intervention at the same time.The patients were followed up for 1 year. The mental health of the two groups were evaluated by Symptom Checklist 90（SCL-90） before and after intervention.The Positive and Negative Syn-drome Scale（PANSS） was used to evaluate the mental symptoms of the two groups.Social Disability Screening Schedule（SDSS） was used to assess the social function of the two groups.The changes of SCL-90,PANSS and SDSS scales of two groups were statistically analyzed.Result：The SCL-90 dimensions scores of the two groups were better than those before intervention,and the observation group were better than those in control group（P〈0.05）.The total score of PANSS,positive symptoms,negative symptoms and psychopathology of the two groups were lower than those before intervention,and the observation group were lower than those of the control group（P〈0.05）.After intervention,the SDSS scores of the two groups were lower than those before intervention,and the observation group were lower than those of the control group（P〈0.05）.Conclusion：The comprehensive psychological and behavioral intervention can effectively improve the mental symptoms,mental health,quality of life and social function of the elderly patients with first-schizophrenia,and promote the recovery of the patients as soon as possible.

关 键 词：全程综合心理行为 老年首发精神分裂症 心理健康 生活质量 社会功能 

分 类 号：R473.74[医药卫生—护理学]