认知行为治疗对老年精神分裂症残留型的疗效分析  

Analysis of the Effect of Cognitive Behavioral Therapy on Residual Schizophrenia

作　　者：田晔 丰秀娟 秦海燕 TIAN Ye;FENG Xiu-juan;QIN Hai-yan(Department of Psychiatry,Liaocheng Fourth People's Hospital,Liaocheng,Shandong Province,252000 China;Department of Depression,Liaocheng Fourth People's Hospital,Liaocheng,Shandong Province,252000 China;Psychological Rehabilitation Ward,Liaocheng Fourth People's Hospital,Liaocheng,Shandong Province,252000 China)

机构地区：[1]聊城市第四人民医院精神科,山东聊城252000 [2]聊城市第四人民医院抑郁症科,山东聊城252000 [3]聊城市第四人民医院心理康复病房,山东聊城252000

出　　处：《中外医疗》2021年第6期11-13,共3页China & Foreign Medical Treatment

摘　　要：目的探究认知行为用于治疗老年精神分裂症残留型的效果分析。方法随机选取该院自2019年1月—2020年3月期间收治的200例老年精神分裂症残留型患者采取抽签法随机分为试验组(n=100)与参照组(n=100),参照组患者实施常规基础治疗,试验组在参照组基础上实施认知行为干预,对比两组患者MMSE评分、PANSS评分、SAS及SDS评分。结果干预前,试验组患者SAS、SDS评分分别为(57.28±4.16)分、(59.36±4.58)分,参照组患者SAS、SDS评分分别为(57.21±4.23)分、(59.25±4.46)分,两组患者SAS及SDS评分对比,差异无统计学意义(t=0.118、0.172,P=0.906、0.864)。干预后,试验组SAS评分为(24.36±2.49)分低于参照组的(32.47±2.83)分,SDS评分为(26.82±2.63)分低于参照组的(33.25±3.12)分,PANSS阴性症状评分为(11.34±3.26)分低于参照组的(16.29±3.48)分,MMSE评分(24.37±2.58)分高于参照组的(18.59±2.23)分,差异有统计学意义(t=21.515、15.757、10.381、16.949,P<0.001);试验组与参照组PANSS阳性症状评分分别为(9.58±3.35)分、(9.68±3.74)分,差异无统计学意义(t=0.199,P=0.842)。结论老年精神分裂症残留型患者实施认知行为治疗能有效缓解不良情绪,提高认知能力,值得推广。Objective To explore the effect of cognitive behavior in the treatment of residual schizophrenia in the elderly.Methods Random select the 200 elderly patients with residual schizophrenia admitted to the hospital from January 2019 to March 2020 were randomly divided into experimental group(n=100)and reference group(n=100)by lottery method.Reference group received conventional basic treatment,and the experimental group implemented cognitive behavioral intervention on the basis of the reference group.The MMSE score,PANSS score,SAS and SDS scores of the two groups were compared.Results Before intervention,SAS and SDS scores in the test group were(57.28±4.16)points and(59.36±4.58)points,respectively,and those in the control group were(57.21±4.23)points and(59.25±4.46)points,respectively.There was no statistical significance in the comparison of SAS and SDS scores between the two groups(t=0.118,0.172,P=0.906,0.864).After intervention,SAS score(24.36±2.49)points in the test group was lower than that in the control group(32.47±2.83)points,SDS score(26.82±2.63)points was lower than that in the control group(33.25±3.12)points,PANSS negative symptom score(11.34±3.26)points was lower than that in the control group(16.29±3.48)points,MMSE score(24.37±2.58)points was higher than that in the control group(18.59±2.23)points.The difference was statistically significant(t=21.515,15.757,10.381,16.949,P<0.001).The PANSS positive symptom scores of the test group and the reference group were(9.58±3.35)points and(9.68±3.74)points,respectively,and the difference was not statistically significant(t=0.199,P=0.842).Conclusion Cognitive behavior therapy for elderly patients with residual schizophrenia can effectively relieve bad mood and improve cognitive ability,which is worthy of promotion.

关 键 词：认知行为 老年精神分裂症残留型 疗效 

分 类 号：R749.3[医药卫生—神经病学与精神病学]