改良森田疗法在长期住院精神分裂症患者中的应用效果  

Effectiveness of modified Morita therapy in the rehabilitation of long-term hospitalized patients with schizophrenia

作　　者：赵成荣 赵瑜仙 宋红 Zhao Chengrong;Zhao Yuxian;Song Hong(Department of Rehabilitation,Minkang Hospital,Ningxia Civil Affairs Department,Yinchuan 750001,China)

机构地区：[1]宁夏民政厅民康医院康复科,银川750001

出　　处：《中华现代护理杂志》2024年第36期5004-5007,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨改良森田疗法在长期住院精神分裂症患者中的应用效果。方法采用便利抽样法,选取2020年1月—2022年12月宁夏民政厅民康医院的84例长期住院精神分裂症患者为研究对象。采用随机数字表法将患者分为对照组(n=42)和干预组(n=42)。对照组接受精神药物治疗及精神科常规护理;干预组对照组基础上实施改良森田疗法;干预时间为8周。干预前后采用阳性与阴性症状量表(PANSS)、Rosenberg自尊量表和生活满意度指数A量表(LSIA)测量两组患者的临床症状、生活满意度及自尊情况。结果干预后,干预组的PANSS总分低于对照组[(37.10±4.18)vs.(42.70±5.56)分,P<0.01]、一般精神病理症状评分低于对照组[(19.98±2.63)vs.(22.59±3.04)分,P<0.01];Rosenberg自尊量表及LSIA评分均高于对照组[(28.89±4.17)vs.(26.61±5.74)分,P=0.02]、[(11.39±1.88)vs.(9.33±2.57)分,P<0.01]。结论改良森田疗法有利于长期住院精神分裂症患者缓解症状,对提高生活满意度及自尊水平具有积极作用。ObjectiveTo explore the effectiveness of modified Morita therapy in the long-term hospitalized patients of schizophrenia.MethodsA total of 84 long-term hospitalized patients of schizophrenia admitted to Minkang Hospital of Ningxia Civil Affairs Department from January 2020 to December 2022 were selected by convenience sampling method.Patients were randomly divided into a control group(n=42)and an intervention group(n=42)using a random number table method.The control group received psychotropic medication and routine psychiatric care,while the intervention group received additional modified Morita therapy for eight weeks.Before and after the intervention,the Positive and Negative Syndrome Scale(PANSS),Rosenberg Self-Esteem Scale,and Life Satisfaction Index A(LSIA)were used to assess clinical symptoms,life satisfaction,and self-esteem.ResultsAfter the intervention,the intervention group showed significantly lower PANSS total scores[(37.10±4.18)vs.(42.70±5.56),P<0.01]and general psychopathology symptom scores[(19.98±2.63)vs.(22.59±3.04),P<0.01]compared to the control group.The Rosenberg Self-Esteem Scale and LSIA scores in the intervention group were significantly higher than those in the control group[(28.89±4.17)vs.(26.61±5.74),P=0.02]and[(11.39±1.88)vs.(9.33±2.57),P<0.01],respectively.ConclusionsModified Morita therapy is effective in alleviating symptoms,improving life satisfaction,and enhancing self-esteem in long-term hospitalized patients in the remission stage of schizophrenia.

关 键 词：精神分裂症 改良森田疗法 生活满意度 自尊 

分 类 号：R749.3[医药卫生—神经病学与精神病学]