规范化小组认知行为干预对精神分裂症患者积极心理品质及社会功能的影响  

Effects of standardized group cognitive behavior intervention on positive psychological quality and social function of schizophrenic patients

作　　者：陈静静 职彦敏[2] 郭宁宁[1] Chen Jingjing;Zhi Yanmin;Guo Ningning(No.2 Department of Psychiatry,Second Affiliated Hospital of Xinxiang Medical College,453002,China)

机构地区：[1]新乡医学院第二附属医院精神二科,453002 [2]新乡医学院第二附属医院精神四科,453002

出　　处：《国际护理学杂志》2020年第23期4347-4350,共4页international journal of nursing

基　　金：河南省医学教育研究项目 (wjlx2017064)。

摘　　要：目的探讨规范化小组认知行为干预对精神分裂症患者积极心理品质及社会功能的影响。方法选取住院治疗的60例精神分裂症患者,随机分为对照组与观察组,每组30例,给予常规的抗精神病药物治疗,对照组给予常规护理,观察组给予规范化小组认知行为干预。观察患者干预前及干预12 w后的幸福进取者问卷(HEIQ)及社会功能评定量表(SSPI)变化。结果两组患者干预前HEIQ总分及各维度评分比较差异无统计学意义(P>0.05),干预12 w后HEIQ总分及各维度评分均较干预前升高,差异有统计学意义(P=0.000),且观察组高于对照组,差异有统计学意义(P=0.000);两组患者干预前SSPI总分及各维度评分比较差异无统计学意义(P>0.05),干预12 w后SSPI总分及各维度评分均较干预前升高,差异有统计学意义(P=0.000),且观察组高于对照组,差异有统计学意义(P=0.000)。结论精神分裂症患者在常规治疗基础上进行规范化小组认知行为干预治疗,有助于提高患者的积极心理品质及社会功能,可作为精神分裂症患者的重要辅助治疗手段。Objective To investigate the effects of standardized group cognitive behavior intervention on positive psychological quality and social function of schizophrenic patients.Methods A total of 60 hospitalized schizophrenic patients were randomly divided into control group and observation group,30 cases of each group.The patients were treated with conventional antipsychotics,the control group received routine nursing,while the observation group received standardized group cognitive behavior intervention.The changes of Happy Enterprising Individual Questionnaire(HEIQ)and the Scale of Social-Skills for Psychiatric Inpatients(SSPI)before and 12 weeks after the intervention were observed.Results There was no statistically significant difference in HEIQ total score and HEIQ scores in each dimension between the two groups in before intervention(P>0.05).HEIQ total score and score in each dimension in all dimensions were increased compared with those before intervention,and the differences were statistically significant(P=0.000),and the observation group was higher than the control group,and the difference was statistically significant(P=0.000).There was no statistically significant difference in SSPI total score and SSPI scores in each dimension between the two groups in before intervention(P>0.05).After 12 weeks of intervention,SSPI total scores and scores in all dimensions were increased compared with those before intervention,and the difference was statistically significant(P=0.000).Moreover,the observation group was higher than the control group,with statistically significant difference(P=0.000).Conclusions Patients with schizophrenia received standardized group cognitive behavioral interventions,it is helps improve patients'positive psychological quality and social function,it can be used as an important adjunctive therapy for patients with schizophrenia.

关 键 词：规范化小组 认知行为干预 精神分裂症 社会功能 

分 类 号：R473.74[医药卫生—护理学]