音乐舞动联合团体咨询干预对康复期精神分裂症患者的影响  

Effects of Music Dancing Combined with Group Counseling Intervention on Rehabilitation Patients with Schizophrenia

作　　者：夏芳[1] 顾群 龚蔼妹 Xia Fang;Gu Qun;Gong Aimei(Xuhui District Mental Health Center,Shanghai 200232,China)

机构地区：[1]上海市徐汇区精神卫生中心,上海市200232

出　　处：《齐鲁护理杂志》2024年第9期27-30,共4页Journal of Qilu Nursing

摘　　要：目的:探讨音乐舞动联合团体咨询干预对康复期精神分裂症患者的影响。方法:选取2020年1月1日~2021年12月31日收治的134例精神分裂症患者,按照随机数字表法分为对照组和联合组各67例,均予以常规精神科护理,对照组采用团体咨询干预,联合组在对照组基础上采用音乐舞动联合团体咨询干预,两组均连续干预6个月;比较两组干预前后精神症状[采用阳性与阴性症状量表(PANSS)]、抑郁症状[采用卡尔加里精神分裂症抑郁量表(CDSS-C)]、自尊状态[采用Rosenberg自尊量表(RSES)]、心理弹性[采用心理弹性量表(CD-RISC)]、社会功能[采用精神障碍患者社会功能缺损评定量表(SSFD-MD)]、生活质量[采用精神分裂患者生活质量量表(SQLS)]。结果:干预后,两组PANSS、CDSS-C、SSFD-MD、SQLS评分均低于干预前(P<0.05),且联合组低于对照组(P<0.05);干预后,两组RSES、CD-RISC评分均高于干预前(P<0.05),且联合组高于对照组(P<0.05,P<0.01)。结论:音乐舞动联合团体咨询干预能有效缓解康复期精神分裂症患者精神症状,改善抑郁与自尊状态,提高患者心理弹性、社会功能及生活质量。Objective:To explore the effects of music dancing combined with group counseling intervention on patients with schizophrenia during rehabilitation.Methods:A total of 134 patients with schizophrenia admitted from January 1,2020 to December 31,2021 were randomly divided into control group and combination group,with 67 patients in each group.All patients were given routine psychiatric nursing.On this basis,the control group was given group counseling intervention,and the combined group was given music dancing combined with group counseling intervention.All patients were continuously intervened for 6 months.Psychiatric symptoms[Positive and Negative Symptom Scale(PANSS)],depressive symptoms[Calgary Depression Scale for Schizophrenia(CDSS-C)],self-esteem status[Rosenberg Self-Esteem Scale(SES)],Connor-Davidson Resilience Scale(CD-RISC)],social function[Scale of Social Function Deficit for Mental Disorders(SSFD-MD)]and quality of life[Schizophrenia Quality of Life Scale(SQLS)]were compared between the two groups before and after intervention.Results:After intervention,the PANSS,CDSS-C,SSFD-MD,and SQLS scores of both groups were lower than those before intervention(P<0.05),and the combined group has lower scores than those of the control group(P<0.05).After intervention,the RSES and CD-RISC scores of both groups were higher than those before intervention(P<0.05),and the combined group has higher scores than those of the control group(P<0.05,P<0.01).Conclusion:Music dancing combined with group counseling intervention can effectively relieve the psychiatric symptoms of patients with convalescent schizophrenia,improve the depression and self-esteem status,and enhance the psychological resilience,social function and quality of life.

关 键 词：音乐舞动 团体咨询 精神分裂症 抑郁症状 心理弹性 社会功能 

分 类 号：R473.74[医药卫生—护理学]