阅读疗法联合改良森田疗法对住院恢复期精神分裂症患者的影响  

Effect of reading therapy combined with modified Morita therapy on hospitalized patients with convalescent schizophrenia

作　　者：杨成超 唐清娥 朱品 YANG Chengchao;TANG Qing'e;ZHU Pin(Jiaozhou Psychological Rehabilitation Hospital,Qingdao266300,China;Oriental Hospital affiliated to TongjiUniversity Jiaozhou Hospital,Qingdao 266300,China)

机构地区：[1]胶州市心理康复医院,山东青岛266300 [2]同济大学附属东方医院胶州医院,山东青岛266300

出　　处：《心理月刊》2025年第5期126-128,共3页

摘　　要：目的 分析住院恢复期精神分裂症患者采取阅读疗法搭配改良森田疗法干预的效果。方法 选取2023年4月~2024年7月胶州市心理康复医院接诊的80例精神分裂症患者进行随机对照研究,均处于住院恢复期,以随机数字表法分为对照组和观察组。对照组施以改良森田疗法,观察组在对照组疗法基础上配合阅读疗法。对比两组阳性与阴性症状量表(PANSS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、日常生活活动能力量表(ADL)评分及不良事件发生率。计数资料以χ^(2)检验,正态计量资料以t检验。结果 治疗前,两组PANSS、SAS、SDS、ADL评分差异无统计学意义(P>0.05);治疗后,两组PANSS、SAS、SDS、ADL评分均改善,且观察组PANSS、SAS及SDS评分低于对照组,ADL评分高于对照组(P<0.05)。观察组不良事件发生率比对照组低(P<0.05)。结论 住院恢复期精神分裂症患者采取阅读疗法联合改良森田疗法干预可提升患者的日常生活能力,并调节其心理状态,改善精神分裂症病症,促进其预后恢复。Objective To analyze the effect of reading therapy combined with modified Morita therapy in hospitalized patients with schizophrenia during the recovery period.Methods 80 patients with schizophrenia admitted to Jiaozhou Psychological Rehabilitation Hospital from April 2023 to July 2024 were selected for a randomized controlled study.All patients were in the recovery period of hospitalization and were divided into control group and observation group by random number table method.The control group was treated with modified Morita therapy,and the observation group was treated with reading therapy on the basis of the control group.The positive and negative symptom scale(PANSS),self-rating anxiety scale(SAS),self-rating depression scale(SDS),activity of daily living scale(ADL)and the incidence of adverse events were compared between the two groups.The count data were analyzed by χ^(2)test,and the normal measurement data were analyzed by t test.Results Before treatment,there was no significant difference in the scores of PANSS,SAS,SDS and ADL between the two groups(P>0.05).After treatment,the PANSS,SAS,SDS and ADL scores of the two groups were improved,and the PANSS,SAS and SDS scores of the observation group were lower than those of the control group,and the ADL score was higher than that of the control group(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group(P<0.05).Conclusion Patients with inpatient convalescent schizophrenia can improve their daily living ability,adjust their psychological state,improve their schizophrenia disease,and promote their prognosis and recovery.

关 键 词：阅读疗法 改良森田疗法 住院恢复期精神分裂症 心理状态 

分 类 号：R47[医药卫生—护理学]