积极心理学理论对精神分裂症患者认知功能损伤程度和服药依从性及复发率的影响  

Influence of positive psychology theory on the degree of cognitive function impairment,medication compliance and relapse rate of schizophrenic patients

作　　者：叶美兰 施文 张玉川 叶颖颖 YE Meilan;SHI Wen;ZHANG Yuchuan;YE Yingying(Fuzhou Second General Hospital Neuropsychiatric Hospital,Fuzhou,Fujian,350000,China)

机构地区：[1]福州市第二总医院神经精神病防治院,福建福州350000

出　　处：《当代医学》2025年第1期171-174,共4页Contemporary Medicine

摘　　要：目的探讨极心理学理论对精神分裂症患者认知功能损伤程度、服药依从性及复发率的影响。方法选取2020年1月至2022年12月于福州市第二总医院神经精神病防治院接受治疗的313例精神分裂症患者作为研究对象,按照随机数字表法分为对照组(n=156)与研究组(n=157)。对照组实施精神疾病科常规干预模式,研究组实施积极心理学理论干预模式。比较两组消极情绪、认知功能损伤程度及社会适应能力、服药依从性、复发率及住院时间。结果干预后,两组焦虑自评量表、抑郁自评量表评分均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05);干预后,两组蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)评分均高于干预前,适应能力量表(scale of adaptive functioning education,SA-FE)评分均低于干预前,且MoCA评分高于对照组,SA-FE评分低于对照组,差异有统计学意义(P<0.05);研究组总依从率为92.35%,高于对照组的50.00%,差异有统计学意义(P<0.05);干预后6个月,研究组复发率为11.46%,低于对照组的56.41%,差异有统计学意义(P<0.05);研究组住院时间短于对照组,差异有统计学意义(P<0.05)。结论积极心理学理论可改善患者服药依从性,弱化消极情绪,降低认知功能损伤程度及复发率,缩短患者住院时间,利于改善预后,有较高的临床应用价值,值得临床推广应用。Objective To explore the influence of positive psychology theory on the degree of cognitive function impairment,medication compliance and relapse rate of schizophrenic patients.Methods A total of 313 patients with schizophrenia who received treatment in Fuzhou Second General Hospital Neuropsychiatric Hospital from January 2020 to December 2022 were selected as the study subjects,and they were divided into the control group(n=156)and the study group(n=157)according to the random number table method.The control group implemented the routine intervention mode of mental disease department,and the study group implemented the positive psychology theory intervention mode.The negative emotion,cognitive function impairment and social adap tation doility,medication compliance,recurrence rate and hospitalization time were compared between the two groups.Results After intervention,the scores of self-rating anxiety scale and self-rating depression scale of the two groups were lower than before intervention,and the study group was lower than the control group,the differences were statistically significant(P<0.05).After intervention,scores of Montreal cognitive assessment scale(MoCA)of the two groups were higher than before intervention,scores of scale of adaptive functioning education(SA-FE)were lower than before intervention,MoCA score in the study group was higher than that in the control group,SA-FE score was lower than that in the control group,the differences were statistically significant(P<0.05).The total compliance rate in the study group was 92.35%,which was higher than 50.00%in the control group,and the difference was statistically significant(P<0.05).6 months after intervention,the recurrence rate in the study group was 11.46%,which was lower than 56.41%in the control group,the difference was statistically significant(P<0.05).The hospitalization time in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Positive psychology theory can improve

关 键 词：积极心理学理论 精神分裂症 认知功能 服药依从性 复发 

分 类 号：R749.3[医药卫生—神经病学与精神病学]