焦点解决式健康指导联合认知行为疗法对精神分裂症缓解期患者治疗依从性、生活质量的影响  

Effect of Focus Solution Health Guidance Combined with Cognitive Behavioral Therapy on Treatment Compliance and Quality of Life in Patients with Schizophrenics in Remission Period

作　　者：邓少玲 江妙玲 谢翠芬 DENG Shaoling;JIANG Miaoling;XIE Cuifen(Guangzhou Huiai Hospital(Affiliated Brain Hospital of Guangzhou Medical University),Guangzhou 510370,China)

机构地区：[1]广州市惠爱医院(广州医科大学附属脑科医院),广东广州510370

出　　处：《中国医学创新》2020年第16期78-82,共5页Medical Innovation of China

基　　金：广州市卫生局医药卫生科技项目(20161A010049)。

摘　　要：目的:探讨焦点解决式健康指导联合认知行为疗法(CBT)对精神分裂症缓解期患者治疗依从性和生活质量的影响.方法:选取2016年1月-2017年1月于本院精神科接受治疗的104例精神分裂症缓解期患者.按随机数字表法分为对照组和研究组,每组52例.对照组给予CBT,研究组在对照组基础上联合焦点解决式健康指导.比较两组干预前后精神症状、认知功能、社会功能损害程度、生活质量、治疗依从性及复发情况.结果:干预后,两组阳性症状、阴性症状、一般精神病理评分及阳性与阴性症状量表(PANSS)总分均低于干预前,且研究组阳性症状、阴性症状评分及PANSS总分均低于对照组(P<0.05).干预后,两组自知力与治疗态度问卷(ITAQ)评分均高于干预前,而社会功能缺陷筛选量表(SDSS)评分均低于干预前(P<0.05).干预后,研究组ITAQ评分高于对照组,而SDSS评分低于对照组(P<0.05).干预后,两组心理社会、精力/动机、症状/不良反应评分和精神分裂症患者生活质量量表(SQLS)总分均低于干预前,且研究组心理社会、精力/动机、症状/不良反应评分和SQLS总分均低于对照组(P<0.05).干预后,研究组治疗依从性优于对照组(P<0.05).对照组复发率为28.85%明显高于研究组的9.62%(P<0.05).结论:焦点解决式健康指导联合CBT可显著提高精神分裂症缓解期患者依从性和生活质量,缓解病情,改善患者认知功能和社会损害功能,降低复发风险.Objective:To explore the effects of focus solution health guidance combined with cognitive behavioral therapy(CBT)on treatment compliance and quality of life in patients with schizophrenia in remission period.Method:A total of 104 patients with schizophrenia in remission period treated in the department of psychiatry of our hospital from January 2016 to January 2017 were selected.According to the random number table method,they were divided into control group and research group,52 cases in each group.The control group was given CBT,and the research group was given focus solution health guidance based on the control group.Mental symptoms,cognitive function,degree of impairment of social function,quality of life,treatment compliance and recurrence were compared between the two groups before and after intervention.Result:After intervention,positive symptoms,negative symptoms,general psychopathological score and the total score of positive and negative symptoms scale(PANSS)in the two groups were lower than those before intervention,and the scores of positive symptoms,negative symptoms and the total score of PANSS in the research group were lower than those in the control group(P<0.05).After intervention,insight and treatment attitude questionnaire(ITAQ)scores in both groups were higher than those before intervention,and social disability screening schedule(SDSS)scores in both groups were lower than those before intervention(P<0.05).After intervention,the ITAQ score of the research group was higher than that of the control group,while the SDSS score was lower than that of the control group(P<0.05).After intervention,scores of psychosocial,energy/motivation,symptoms/adverse reactions and the total score of schizophrenia quality of life scale(SQLS)in the two groups were lower than those before intervention,and scores of psychosocial,energy/motivation,symptoms/adverse reactions and the total score of SQLS in the research group were lower than those in the control group(P<0.05).After intervention,the treatment compliance

关 键 词：精神分裂症 缓解期 焦点解决式健康指导 认知行为疗法 

分 类 号：R473.74[医药卫生—护理学]