叙事疗法联合改良森田疗法对住院康复期精神分裂症患者精神症状及认知功能的影响  

Effect of Narrative Therapy Combined with Modified Morita Therapy on Psychiatric Symptoms and Cognitive Function in Hospitalized Patients with Schizophrenia During Rehabilitation Period

作　　者：邢静 XING Jing(Department of Psychiatry,Jining Rongjun Special Care Hospital,Jining 272100,China)

机构地区：[1]济宁市荣军优抚医院精神科,山东济宁272100

出　　处：《反射疗法与康复医学》2025年第2期174-177,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的分析叙事疗法联合改良森田疗法对住院康复期精神分裂症患者精神症状及认知功能的影响。方法选取2022年4月—2024年4月济宁市荣军优抚医院收治的102例住院康复期精神分裂症患者为研究对象,按照随机数字表法将其分为对照组和观察组,各51例。对照组采用改良森田疗法,观察组采用叙事疗法联合改良森田疗法,两组患者均持续治疗3个月。比较两组的精神症状、认知功能、社会功能、生活质量、临床疗效。结果治疗后,两组阴性症状评定量表、阳性症状评定量表评分均低于治疗前,且观察组均低于对照组,差异有统计学意义(P<0.05);两组简明精神分裂症认知评估测验、住院精神患者社会功能评定量表评分均高于治疗前,且观察组均高于对照组,差异有统计学意义(P<0.05);两组精神分裂症患者生活质量量表中各个维度评分均低于治疗前,且观察组均低于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率为92.16%,高于对照组的76.47%,差异有统计学意义(P<0.05)。结论住院康复期精神分裂症患者采用叙事疗法联合改良森田疗法治疗可有效减缓解其精神症状,改善认知功能、社会功能及生活质量,提高临床疗效。Objective Analysis of the effects of narrative therapy combined with modified Morita therapy on psychiatric symptoms and cognitive function in hospitalized patients with schizophrenia during rehabilitation period.Methods Selecting 102 hospitalized patients with schizophrenia during rehabilitation period admitted to Jining Rongjun Special Care Hospital from April 2022 to April 2024 as the research subjects,according to the random number table method,they were divided into a control group and an observation group,with 51 cases in each group.The control group received modified Morita therapy,while the observation group received narrative therapy combined with modified Morita therapy,both groups of patients received continuous treatment for 3 months.Compare the psychiatric symptoms,cognitive function,social function,quality of life,and clinical efficacy between two groups.Results After treatment,the scores of the Scale for Assessment of Negative Symptoms and Scale for Assessment of Positive Symptoms in both groups were lower than those before treatment,and the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);the scores of the Brief Assessment of Cognition in Schizophrenia and the Scale of Social Function in Psychosis Inpatients in both groups were higher than those before treatment,and the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);the scores of each dimension in the Schizophrenia Quality of Life Scale in both groups were lower than those before treatment,and the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was 92.16%,which was higher than 76.47%the control group,the difference was statistically significant(P<0.05).Conclusion Narrative therapy combined with modified Morita therapy can effectively alleviate and relieve the psychiatric symptoms of hospitalized p

关 键 词：精神分裂症 住院康复期 叙事疗法 改良森田疗法 精神症状 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]