常规应用音乐及体育疗法改善精神分裂症患者自知力和行为障碍的作用  

Effect of music-sport therapy on the insight and behavioral dis-turbance in patients with schizophrenia

作　　者：胡勤玲[1] 薛令合[1] 高新华[1] 

机构地区：[1]济宁市精神病防治院精神科,山东省济宁市272051

出　　处：《中国临床康复》2004年第9期1626-1627,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:观察音乐体育疗法改善精神分裂症患者自知力和行为障碍的效果。 方法:将116例精神分裂症患者按随机分配表法分成对照组和研究组各58例,两组患者均接受抗精神病药物治疗,研究组佐以音乐体育疗法进行治疗。两组患者分别与疗前及治疗后3个月进行简明精神病评定量表(BPRS)、自知力与治疗态度问卷表(ITAQ)和护士用住院患者观察量表(NOSIE)评定。 结果:BPRS,ITAQ和NOSIE疗前评定两组患者比较,差异无显著性意义(t=1.36,0.98,1.79,P>0.05),治疗后两组患者BPRS和ITAO比较差异有显著性意义(t=4.17,5.67,P均<0.01),NOSIE评定各因子和总估计分差异均有显著或极显著性意义(t=4.94～2.42,P<0.05～0.01)。 结论:音乐体育疗法有助于精神分裂症自知力的恢复和行为障碍及精神症状的改善。AIM: To explore the effect of music-sport therapy in improving the insight and behavioral disturbance in schizophrenics. METHODS: Totally 116 patients with schizophrenia were divided into control group(n = 58) and study group(n = 58) with the method of random assortment. All patients received treatment of antipsychotics, besides, patients in the study group were treated with music and sports at the same time. The two groups were both evaluated by the brief psychiatric rating scale (BPRS), insight and treatment attitude questionnaire(ITAQ) and nurses' observation scale for inpatient evaluation (NOSIE) before and 3 months after treatment. RESULTS: The scores of BPRS, ITAQ and NOSIE were not significantly different between two groups before the treatment( t = 1. 36, 0. 98, 1. 79, P > 0. 05), while there were obvious differences 3 months after treatment in the scores of BPRS and ITAQ( t = 4. 17, 5. 67, P < 0. 01), and the differences in subfactor scores and total scores of NOSIE were significant( t = -4.94-2.42, P <0. 05-0. 01). CONCLUSION: Music-sport therapy contributes to the recovery of insight and the improvement of behavioral disturbance and psychiatric symptoms of schizophrenia.

关 键 词：音乐疗法 体育疗法 精神分裂症 自知力 行为障碍 治疗 

分 类 号：R749.3[医药卫生—神经病学与精神病学]