摘要
目的:研究音乐治疗联合行为疗法对恢复期精神分裂症患者康复效果的影响。方法:选择在本院住院的100例恢复期精神分裂症患者,随机分为研究组和对照组各50例,2组患者都给予常规抗精神病药物治疗及护理,研究组在对照组基础上采用音乐治疗及行为疗法。治疗前后采用改良版维斯康辛卡片分类测验(M-WCST)和简明精神病(科)量表(BPRS)进行评定。结果:治疗3个月后,研究组M-WCST评估中的正确数和正确分类数明显高于治疗前及对照组,错误数和持续错误数明显低于治疗前及对照组,差异均有统计学意义(P<0.05),治疗5个月后,研究组的正确数和正确分类数仍明显高于治疗3个月后及对照组,错误数、持续错误数及非持续错误数明显低于治疗3个月后及对照组(P<0.05)。治疗5个月后,研究组BPRS评估中在被动社交退缩、思维贫乏、意志减退、注意障碍等症状改善有效率均显著高于对照组(P<0.05),对睡眠障碍、幻觉妄想症状的有效率两组均无显著性差异。结论:音乐治疗联合行为疗法可明显改善恢复期精神分裂症患者的认知功能和精神症状,对患者的康复和回归社会具有显著的促进作用。
Objective：To study the effect of music therapy combined with behavioral therapy on rehabilitation of schizophrenia patients in recovery period.Methods：100hospitalized patients with schizophrenia at recovery stage were randomly divided into study group and control group（n=50each）.The patients in the two groups were given conventional antipsychotic drug treatment and nursing.The patients in the study group were subjected to music therapy and behavior therapy additionally.Modified version of Wisconsin Card Sorting Test（M-WCST）trails and the Brief Psychiatric scale（BPRS）were assessed before and after treatment.Results：After treatment for 3months,for M-WCST,the correct number and the number of correct classifications in the study group were significantly greater than those before treatment and in the control group.The number of errors and perseverative error number in the study group were significantly less than those before treatment and in the control group（P〈0.05）.After treatment for 5months,correct number and correct classification number in the study group were greater than those at 3rd month and in the control group.Wrong number,number of perseverative errors and non persistent error number in the study group were significantly less than those at 3rd month and in the control group（P〈0.05）.After treatment for 5months,for BPRS,passive social withdrawal,poverty of thought,will decline,and attention disorders symptoms were improved more significantly in the study group than in the control group（P〈0.05）.There was no significant difference about the sleep disorders,hallucinations,and delusions between the two groups.Conclusion：Music therapy combined with behavioral therapy can significantly improve the cognitive function and mental symptoms of schizophrenia patients in recovery period,and has a significant effect on the rehabilitation of patients and the return to society.
出处
《中国康复》
2016年第3期232-234,共3页
Chinese Journal of Rehabilitation
基金
湖北省卫生计生政策类专项科研项目(WJ2015GB032)
湖北科技学院科研项目(KY12072
LCZX201508)
关键词
精神分裂症恢复期
音乐治疗
行为疗法
康复
回归社会
schizophrenia recovery period
music therapy
behavior therapy
rehabilitation
return to society
