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综合心理行为干预对慢性精神分裂症病人康复的对照研究

A comparative study of comprehensive psychological and behavioral intervention to chronic schizophrenia
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摘要 目的探讨综合性心理行为干预治疗对慢性精神分裂病人的康复效果。方法符合入组标准的70例病人随机分为干预组和对照组,干预组的病人在药物治疗的基础上实施6个月的心理和行为干预,对照组维持原药物治疗,采用传统的护理方法,选用阴性症状评定量表(SANS)及生活质量综合评定问卷(GQOL-74)分别评估病人的疗效及生命质量,两组进行同步性比较研究。结果干预组病人SANS总分及各因子分均较对照组显著降低(P〈0.01),GQOL-74评分中。躯体功能维度、心理功能维度、社会功能维度及总体生活质量因子得分分别高于对照组,差异有显著性(P〈0.01)。结论实施综合心理行为干预能有效减轻慢性精神分裂症病人的缺损症状,提高生活质量和社会适应能力,是慢性精神分裂症病人回归社会的有效途径。 Objective To explore the recovery effects of comprehensive psychological and behavioral intervention for patients with chronic schizophrenia. Methods A total of 70 patients with chronic schizophrenia were randomly assigned to the study group and the contrast group. Both groups received the same drug treatment, the study group also give comprehensive psychological and behavioral intervention for six months , while the contrast group only give the conventional nursing. The curative effects and life quality of each patients contained the study group and the contrast group were assessed with SANS and GQOL -74 at the same time. Results The patients of the study group whose scores of SANS and every factor of SANS were significantly lower than these of the contrast group (P 〈0. 01). While at dimensional of body function, psychology function , society function and the total life quality factor of GQOL - 74, the study group have significantly higher scores than the contrast group, and the difference is vevy notieable (P 〈 0. 01 ) . Conclusion Comprehensive psychological and behavioral intervention combined with drugs can significantly improve patientstife quality and the ability to adjust society, On the other hand it can effectivly lessen patientsabsent symptoms. And it is an effective way for patients with chronic schizophrenia retunling society.
作者 赵淑娟
出处 《国际护理学杂志》 2008年第2期190-192,共3页 international journal of nursing
关键词 心理行为干预 慢性精神分裂症 康复 Comprehensive psychological and behavioral intervention Chronic schizophrenia Recovery
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