工娱绘画治疗对康复期精神分裂症患者认知功能及生活质量的影响  

Effects of occupation recreational painting therapy on cognitive function and quality of life of convalescent patients with schizophrenia

作　　者：郭文勇[1] 曾荷花 朱建忠[1] Guo Wenyong;Zeng Hehua;Zhu Jianzhong(Jiangmen Third People's Hospital,Jiangmen 529000,Guangdong,China)

机构地区：[1]江门市第三人民医院,广东江门529000

出　　处：《临床心身疾病杂志》2022年第4期125-127,145,共4页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨工娱绘画治疗对康复期精神分裂症患者认知功能及生活质量的影响。方法将100例精神分裂症患者按随机数字表法分为对照组和观察组,各50例,对照组给予常规抗精神病药物治疗,观察组在对照组基础上联合工娱绘画治疗,观察4周。治疗前及治疗2周、4周末采用精神病评定量表、蒙特利尔认知评估量表及住院病人观察量表评定患者的精神症状、认知功能及心理健康状况,治疗前后采用日常生活活动能力量表评定患者的日常生活能力。结果治疗2周、4周末两组精神病评定量表评分均较治疗前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。治疗2周、4周末两组蒙特利尔认知评估量表、住院病人观察量表评分均较治疗前显著升高(P<0.01),观察组显著高于对照组(P<0.01)。治疗后两组日常生活能力均较治疗前显著改善(P<0.01),观察组显著优于对照组(P<0.01)。结论药物治疗联合工娱绘画治疗康复期精神分裂症能明显缓解病情,促进患者认知功能的恢复,提高其心理健康水平,改善其日常生活能力。Objective To investigate the effect of occupation recreational painting therapy on cognitive function and quality of life of convalescent patients with schizophrenia.Methods A total of 100 schizophrenic patients were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group was treated with conventional antipsychotic drugs,and the observation group was treated with occupation recreational painting therapy on the basis of the control group for 4 weeks.Mental symptoms,cognitive function and mental health status were assessed by psychiatric rating scale,Montreal cognitive assessment(MoCA)and nurses'observation scale for inpatient evaluation(NOSIE)before treatment,2 weeks and 4 weeks after treatment.Before and after treatment,the patients'activities of daily living were assessed by activity of daily living scale(ADL).Results After 2 weeks and 4 weeks of treatment,the psychiatric rating scale scores of the two groups were significantly lower than those before treatment(P<0.01),and the observation group was significantly lower than the control group(P<0.01).After 2 weeks and 4 weeks of treatment,the MoCA and NOSIE scores in the two groups were significantly higher than those before treatment(P<0.01),and the observation group was significantly higher than the control group(P<0.01).After treatment,the ADL of the two groups were significantly improved(P<0.01),and the observation group was significantly better than the control group(P<0.01).Conclusions Drug therapy combined with occupation recreational painting therapy can significantly alleviate the condition of convalescent patients with schizophrenia,promote the recovery of cognitive function,improve their mental health,and improve their ability of daily living.

关 键 词：精神分裂症 工娱绘画治疗 认知功能 生活质量 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R749.056[医药卫生—临床医学]