园艺疗法对社区慢性精神分裂症患者认知功能的影响研究  

Influence of horticultural therapy on cognitive function of patients with schizophrenia in a community-based rehabilitation center

作　　者：孔素丽 赵姣文 张燕华[1] 郭本玉[1] 高存友 KONG Su-li;ZHAO Jiao-wen;ZHANG Yan-hua;GUO Ben-yu;GAO Cun-you(Jiading District Mental Health Center,Shanghai 201803,China)

机构地区：[1]上海市嘉定区精神卫生中心,上海201803

出　　处：《中国预防医学杂志》2019年第4期342-346,共5页Chinese Preventive Medicine

基　　金：上海市嘉定区医学重点专科建设项目(JDYXZDZK-3);上海市嘉定区第五批学术技术带头人建设项目

摘　　要：目的探索园艺疗法对社区慢性精神分裂症患者记忆力、注意力、执行功能的影响。方法选取上海市嘉定区社区慢性精神分裂症患者69例,采用随机数字表法分为园艺组(34例)和对照组(35例)。园艺组在抗精神病药维持治疗的基础上合并12周的园艺治疗。分别在治疗前和疗程结束后采用阳性和阴性症状量表(PANSS)评定临床症状,应用威斯康星卡片分类测验(WCST)、持续操作检验(CPT)和中国修订韦氏成人智力量表(WAIS-RC)评估入组患者记忆力、注意力及执行功能。结果与治疗前比较,园艺组PANSS阴性和反应缺乏因子分下降,差异有统计学意义(P<0.05);WCST测验的总应答数(Ra)、完成分类数(Cc)、正确应答数(Rc)得分升高,完成第一个分类所需应答数(Rf)、持续性错误(Rpe)得分下降,差异有统计学意义(P均<0.05);WAIS-RC量表的数字符号、数字广度得分,以及CPT测验的CPT1、CPT2、CPT3的成绩均升高,差异有统计学意义(P<0.05)。治疗后园艺组PANSS阴性、反应缺乏因子,Ra、Cc、Rc,数字符号和数字广度成绩等指标与对照组比较差异有统计学意义(P<0.05)。结论园艺疗法可以有效改善康复期精神分裂症患者记忆力、注意力、执行等认知功能,对促进社区患者社会功能的恢复有重要意义。Objective To observe the influence of horticultural therapy on cognitive function of patients with schizophrenia in a community-based rehabilitation center. Methods A total of 69 patients with schizophrenia in a community-based rehabilitation center in Jiading District of Shanghai were enrolled in the study, and were divided into intervention group(n=34) and control group(n=35) using the random-number table method.Patients in intervention group received horticultural therapy besides regular treatment for 12 weeks.All participents were assessed for clinical symptoms using positive and negative syndrome scale(PANSS).Wisconsin card sorting test(WCST), continue performance test(CPT) and revised Wechsler adult intelligence scale test(WAIS-RC) were used to evaluate the memory, attention and cognitive function of patients before and after the intervention. Results After the intervention, both the PANSS negative score and response deficiency factor score as well as the Rf and Rpe scores decreased(P<0.05), while the the scores of Ra, Cc and Rc in WCST as well as the scores of digital sign, digit span in WAIS_RC scale and the scores of CPT1, CPT2, CPT3 in CPT all increased, the differences were statistically significant(P<0.05).PANSS-negative and response deficiency factor scores of patients in intervention group were lower than those of controls, and the scores of Ra, Cc, Rc, digit symbol and digit span were higher(P<0.05). Conclusions Horticultural therapy can effectively improve the memory,attention and cognitive function of patients with schizophrenia in a community-based rehabilitation center.

关 键 词：精神医学 认知功能 园艺疗法 精神分裂症 康复 

分 类 号：R193[医药卫生—卫生事业管理] R749[医药卫生—公共卫生与预防医学]