自信心心理训练联合药物治疗精神分裂症康复期患者的效果探讨  

Effect of self-confidence psychological training combined with drug treatment on patients with schizophrenia in the rehabilitation period

作　　者：赵建利[1] 陈琳霞[1] 董莹盈 ZHAO Jianli;CHEN Linxia;DONG Yingying(Psychiatric rehabilitation Ward,the Seventh People′s Hospital of Shaoxing in Zhejiang Province,Shaoxing 312000,China)

机构地区：[1]浙江省绍兴市第七人民医院精神康复病区,浙江绍兴312000

出　　处：《中国现代医生》2022年第12期179-183,共5页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2019KY722)。

摘　　要：目的探讨自信心心理训练联合药物治疗在精神分裂症康复期中的应用价值。方法选取2017年12月至2020年12月浙江省绍兴市第七人民医院收治的90例精神分裂症康复期患者进行研究,经随机数字表法分成对照组和观察组,各有45例。对照组单纯接受药物治疗方案,观察组联合使用自信心心理训练,比较两组疾病治疗效果、治疗前后自尊说、精神症状、心理状态和生活质量。结果观察组PANSS评分为(43.55±2.19)分,明显低于对照组的(53.81±3.05)分,差异有统计学意义(t=18.330,P<0.001);观察组治疗后SES评分为(24.60±1.48)分,明显高于对照组的(21.46±1.32)分,差异有统计学意义(t=10.621,P<0.001);BPRS评分为(40.36±1.54)分,明显低于对照组的(52.18±2.28)分,差异有统计学意义(t=28.819,P<0.001)。观察组治疗后SAS评分为(51.32±1.16)分,明显低于对照组的(59.68±1.45)分,SDS评分为(54.84±1.72)分,明显低于对照组的(61.27±2.60)分,差异有统计学意义(t=30.201,P<0.001;t=13.836,P<0.001)。观察组生活质量评分为(55.05±2.25)分,明显低于对照组的(67.45±2.57)分,差异有统计学意义(t=24.352,P<0.001)。结论予以精神分裂症康复期患者自信心心理训练联合药物治疗方案,可促进患者疾病治疗效果的提升,存在明显的推广价值。Objective To explore the application value of self-confidence psychological training combined with drug treatment in the rehabilitation period of schizophrenia.Methods A total of 90 patients with schizophrenia in the rehabilitation period admitted to the Seventh People′s Hospital of Shaoxing in Zhejiang Province from December 2017 to December 2020 were selected and randomly divided into the control group and the observation group,with 45 cases in each group.The control group received drug treatment alone,and the observation group received self-confidence psychological training and drug treatment.The disease treatment effect,self-esteem level before and after treatment,psychiatric symptoms,psychological status,and quality of life were compared between the two groups.Results The PANSS score of the observation group was(43.55±2.19)points,which was significantly lower than(53.81±3.05)points of the control group,and the difference had statistical significance(t=18.330,P<0.001).The SES score of the observation group after treatment was(24.60±1.48)points,which was significantly higher than(21.46±1.32)points of the control group,and the difference was statistically significant(t=10.621,P<0.001).The BPRS score of the observation group was(40.36±1.54)points,which was significantly lower than(52.18±2.28)points of the control group,and the difference had statistical significance(t=28.819,P<0.001).After treatment,the SAS score in the observation group(51.32±1.16)points was significantly lower than(59.68±1.45)points in the control group;the SDS score(54.84±1.72)points was significantly lower than(61.27±2.60)points in the control group,and the difference had statistical significance(t=30.201,P<0.001;t=13.836,P<0.001).The quality of life score in the observation group(55.05±2.25)points was significantly lower than(67.45±2.57)points of the control group,and the difference had statistical significance(t=24.352,P<0.001).Conclusion Self-confidence psychological training combined with drug treatment for patients with sc

关 键 词：自信心心理训练 药物治疗 精神分裂症 康复期 自尊水平 精神症状改善情况 心理状态 生活质量 

分 类 号：R749.3[医药卫生—神经病学与精神病学]