精神分裂症患者住院康复期应用代币强化法干预的临床效果  

Clinical effect of token-reinforcement intervention in inpatients with schizophrenia during rehabilitation period

作　　者：代丽 胡倩倩 DAI Li;HU Qianqian(Department of Nursing,Jiangxi Psychiatric Hospital,Jiangxi Province,Nanchang330000,China)

机构地区：[1]江西省精神病院护理部,江西南昌330000

出　　处：《中国当代医药》2022年第34期101-103,111,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2021A219)。

摘　　要：目的探讨精神分裂症患者住院康复期应用代币强化法干预的临床效果。方法选取2019年3月至2022年2月江西省精神病院收治的80例精神分裂症康复期患者作为研究对象,按随机数字表法将其分为对照组(n=40)和观察组(n=40)。对照组患者采用常规药物干预,观察组患者在对照组的基础上应用代币强化法进行干预。观察和比较两组患者治疗3个月后的疗效;使用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评估两组患者治疗前后的抑郁和焦虑情况;干预结束后1、2、3个月进行电话随访,分别记录两组患者不同时间的复发率。结果观察组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.05);两组患者治疗后的HAMD、HAMA评分均低于治疗前,差异有统计学意义(P<0.05);且观察组患者治疗后的HAMD、HAMA评分低于对照组,差异有统计学意义(P<0.05);观察组患者的总复发率低于对照组,差异有统计学意义(P<0.05)。结论精神分裂症患者住院康复期应用代币强化法干预能提高临床疗效,有效改善患者抑郁、焦虑症状,降低患者治疗后复发率。Objective To investigate the clinical effect of token-reinforcement intervention in inpatients with schizophrenia during rehabilitation period.Methods A total of 80 patients with schizophrenia during rehabilitation period who were admitted to Jiangxi Psychiatric Hospital from March 2019 to February 2022 were selected as the research subjects.The patients were divided into control group(n=40)and observation group(n=40)by random number table method.The control group received conventional drug intervention,and the observation group received token-reinforcement intervention on this basis.The efficacy of the two groups after 3 months of treatment was observed and compared.The Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)were used to evaluate the depression and anxiety of the two groups before and after treatment.A telephone follow-up was conducted 1,2 and 3 months after the intervention,and the recurrence rates of the two groups at different times were recorded respectively.Results After treatment,the total response rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the HAMD scores and HAMA scores of the two groups were lower than those before treatment,and the differences were statistically significant(P<0.05).After treatment,the HAMD scores and HAMA scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total recurrence rate in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion Token-reinforcement intervention can improve the clinical effect in patients with schizophrenia during rehabilitation period,effectively relieve their depression and anxiety,and reduce the recurrence rate.

关 键 词：精神分裂症 代币强化法 汉密尔顿抑郁量表 汉密尔顿焦虑量表 

分 类 号：R749[医药卫生—神经病学与精神病学]