摘要
目的探讨在慢性精神分裂症(CSZ)患者中应用计算机认知矫正治疗(CCRT)的临床效果.方法选取该院2019年1月—2021年1月收治的98例需要长期住院的CSZ患者作为研究对象,采用随机数表法分为两组,各49例.对照组采用抗精神病药物治疗及院内康复治疗,观察组在对照组基础上加用CCRT,均连续治疗12周.对两组治疗前后的认知功能、社会功能及自尊程度进行评估.结果治疗后,观察组正确应答数(27.33±1.90)次多于对照组的(25.42±2.03)次,随机错误数(28.61±3.80)次、持续性错误数(24.26±3.02)次、总应答次数(69.12±12.03)次均低于对照组的(33.25±4.62)次、(27.45±5.41)次、(82.33±11.87)次,个人和社会功能量表评分(60.27±7.52)分、自尊量表评分(29.22±3.94)分均高于对照组的(44.31±7.14)分、(26.16±2.67)分,组间差异有统计学意义(P<0.05).结论临床在CSZ患者中应用CCRT,有助于改善其认知功能、社会功能及自尊程度,促使其尽早回归社会.
Objective To investigate the clinical effect of computer cognitive remediation therapy(CCRT)in patients with shronic schizophrenia(CSZ).Methods 98 CSZ patients who were admitted to the hospital from January 2019 to January 2021 and required long-term hospitalization were selected as the research objects,and were divided into two groups by random number table method,with 49 cases in each group.The control group was treated with antipsychotic drugs and inhospital rehabilitation,and the observation group was additionally treated with CCRT on the basis of the control group.Both groups were treated for 12 consecutive weeks.The cognitive function,social function and degree of self-esteem of the two groups before and after treatment were evaluated.Results After treatment,the number of correct responses in the observation group(27.33±1.90)times was more than(25.42±2.03)times in the control group,the number of random errors(28.61±3.80)times,the number of persistent errors(24.26±3.02)times,and the total number of responses(69.12±12.03)times were lower than(33.25±4.62)times,(27.45±5.41)times,and(82.33±11.87)times of the control group,the scores of personal and social performance scale(60.27±7.52)points and the scores of self-esteem scale(29.22±3.94)points were higher than(44.31±7.14)points and(26.16±2.67)points of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Clinical application of CCRT in CSZ patients can help improve their cognitive function,social function and degree of self-esteem,and promote their return to society as soon as possible.
作者
井绪贞
司文霞
JING Xuzhen;SI Wenxia(Department of Psychiatry,Tai'an Youfu Hospital,Tai'an Shandong,271000,China)
出处
《反射疗法与康复医学》
2021年第22期127-129,共3页
Reflexology And Rehabilitation Medicine
关键词
慢性精神分裂症
计算机认知矫正治疗
认知功能
社会功能
Chronic schizophrenia
Computer cognitive remediation therapy
Cognitive function
Social function
