机构地区:[1]江苏省常州市德安医院精神卫生中心,213003 [2]江苏省常州市德安医院康复中心,213003
出 处:《实用心脑肺血管病杂志》2019年第1期87-91,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
摘 要:目的探讨虚拟现实(VR)技术支持下社交技能训练(SST)在中青年精神分裂症社交技能缺陷患者中的应用效果。方法选取2017年常州市德安医院精神卫生中心收治的中青年精神分裂症社交技能缺陷患者60例,采用随机数字表法分为对照组和观察组,每组30例。在常规抗精神分裂症药物治疗基础上,对照组患者于急性期后接受常规SST,观察组患者于急性期后接受VR技术支持下SST;两组患者均持续训练12周。比较两组患者训练前后精神分裂症阳性与阴性症状量表(PANSS)评分、住院精神病患者康复疗效评定量表(IPROS)评分及威斯康星卡片分类测试(WCST)结果。结果 (1)训练前两组患者阴性症状、阳性症状、一般精神病理评分及PANSS总分比较,差异无统计学意义(P>0.05);训练后观察组患者阴性症状、一般精神病理评分及PANSS总分低于对照组(P<0.05),而两组患者阳性症状评分比较,差异无统计学意义(P>0.05)。(2)训练前两组患者社交能力、生活能力、工疗情况、讲究卫生能力、关心与兴趣评分及IPROS总分比较,差异无统计学意义(P>0.05);训练后观察组患者社交能力、生活能力、工疗情况、讲究卫生能力、关心与兴趣评分及IPROS总分低于对照组(P<0.05)。(3)训练前两组患者坚持性应答次数、坚持性错误次数、正确应答次数、完成分类次数及概念化水平率比较,差异无统计学意义(P>0.05);训练后观察组患者坚持性应答次数、正确应答次数、完成分类次数多于对照组,坚持性错误次数少于对照组,概念化水平率高于对照组(P<0.05)。结论 VR技术支持下开展SST能有效改善中青年精神分裂症社交技能缺陷患者精神症状及认知功能,提高患者康复效果。Objective To explore the application effect of social skills training(SST)supported by virtual reality (VR)technology in young and middle-aged schizophrenic patients with social skills deficits. Methods In 2017,a total of 60 young and middle-aged schizophrenic patients with social skills deficits were selected in the Mental Health Center,Dean Hospital of Changzhou,and they were divided into control group and observation group according to random number table method,each with 30 cases. Based on conventional antischizophrenic drugs,patients in control group were given traditional SST after acute phase,while patients in observation group were given SST supported by VR technology;both groups continuously trained for 12 weeks. Positive and Negative Symptom Scale(PANSS)score,Inpatient Psychiatric Rehabilitation Outcome Scale (IPROS)score and Wisconsin Card Sorting Test(WCST)results before and after training were compared between the two groups. Results (1)There was no statistically significant difference in negative symptoms score,positive symptoms score, general psychopathology score or PANSS total score between the two groups before training(P>0.05);after training,negative symptoms score,general psychopathology score and total PANSS score in observation group were statistically significantly lower than those in control group after the training(P<0.05),but there was no statistically significant difference in positive symptoms score between the two groups(P>0.05).(2)There was no statistically significant difference in social competence score,life competence score,occupational therapy participation score,hygiene competence score,caring and interest score,or total IPROS score between the two groups before training(P>0.05);after training,social competence score, life competence score,occupational therapy participation score,hygiene competence score,caring and interest score,and total IPROS score in observation group were statistically significantly lower than those in control group(P<0.05).(3)There was no statistically si
关 键 词:精神分裂症 社交技能缺陷 虚拟现实 社交技能训练 中青年
分 类 号:R749.3[医药卫生—神经病学与精神病学]
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