摘要
目的:探讨利伯曼精神康复技术对长期住院的慢性精神分裂症患者精神症状及自知力的影响。方法:133例长期住院的慢性精神分裂症患者随机分为研究组和对照组。研究组在住院条件下接受抗精神病药物治疗及常规护理基础上,接受每周5次、连续7周的利伯曼精神康复训练;对照组仅接受常规住院的药物治疗及护理。两组在训练前、训练3个月及6个月时分别进行阳性和阴性症状量表(PANSS)及自知力和治疗态度问卷(ITAQ)的评定。两组PANSS及ITAQ比较采用重复测量方差分析。结果:在PANSS阳性症状分上时间效应显著(F=22.980,P<0.001)。在PANSS阴性症状上组间效应(F=6.932,P=0.009)及时间效应(F=12.485,P<0.001)均显著。在PANSS一般病理症状上时间效应显著(F=25.786,P<0.001)。ITAQ组间效应(F=4.461,P=0.037)、时间效应(F=56.622,P<0.001)及交互效应(F=6.609,P=0.002)均显著。结论:利伯曼精神康复训练能更好地帮助长期住院的慢性精神分裂症患者改善阴性症状及提高自知力。
Objective： To explore the effects of Lieberman mental rehabilitation technique on symptoms and insight in long-term hospital patients with schizophrenia. Method： one hundred and thirty three long-term hospital patients with schizophrenia were enrolled and were randomly divided into the study group and the control group. The control group only received routine drug treatment and nursing care. The study group received Lieberman rehabilitation training for 7 weeks（ 5 times every week） and routine drug treatment and nursing care. The positive and negative syndrome scale（ PANSS） and insight and treatment attitudes questionnaire（ ITAQ） were assessed at baseline,month 3 and 6. Analysis of variance of repeated measures were used to compare the scores of the PANSS and ITAQ between groups. Results： There were significant time main effect on PANSS positive,negative and general domains（ P〈0. 05）,and were significant group main effect on PANSS negative domain（ P〈0. 05）. There were significant time effect,group effect and time × group interactions on ITAQ（ P 0. 05）. Conclusion： Lieberman rehabilitation training can improve negative symptoms and insight in long-term hospital patients with schizophrenia.
出处
《临床精神医学杂志》
2017年第5期320-322,共3页
Journal of Clinical Psychiatry
基金
广东省云浮市医药卫生类科技项目(WS201541)
广东省云浮市医药卫生类科技项目(WS201542)
广东省云浮市医药卫生类科技项目(WS1438)
关键词
利伯曼精神康复
长期住院
精神分裂症
自知力
Lieberman mental rehabi l i tat ion
long-term h o sp i ta l iz a t io n
sch izo p h ren ia
insight
