摘要
目的探讨社区慢性精神分裂症患者家庭照护者认知团体心理治疗的近期与远期干预效果。方法选取2016年1—2月在上海浦东新区沪东社区卫生服务中心门诊就诊或家庭随访的精神分裂症患者80例,以每例患者的1例主要家庭照护者为研究对象。随机分为对照组(n=40)和观察组(n=40)。对照组给予常规随访与健康教育指导;观察组在对照组的基础上给予认知团体心理治疗,干预时间均为8周。干预前、干预完成时及干预后6个月时,分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活满意度指数A量表(LSIA)、家庭负担会谈量表(FBS)、社会支持评定量表(SSRS)、亲属应激量表(RSS)评估两组照护者的心理精神状况。结果两组SAS、SDS、LSIA评分比较,差异有统计学意义(P<0.05);不同时间点比较,差异有统计学意义(P<0.05);组别和时间在SAS、SDS、LSIA评分上存在交互作用(P<0.05)。其中,干预完成时、干预后6个月时两组SAS、SDS、LSIA评分比较,差异均有统计学意义(P<0.05)。两组FBS中对家庭日常活动的影响、对家庭成员躯体健康的影响评分比较,差异有统计学意义(P<0.05);不同时间点比较,差异有统计学意义(P<0.05);组别和时间在对家庭日常活动的影响、对家庭成员躯体健康的影响评分上存在交互作用(P<0.05)。其中,干预后6个月时两组对家庭日常活动的影响、对家庭娱乐活动的影响、对家庭关系的影响、对家庭成员躯体健康的影响评分及总分比较,差异有统计学意义(P<0.05)。两组SSRS各项评分及总分比较,差异有统计学意义(P<0.05);不同时间点比较,差异有统计学意义(P<0.05);组别和时间在SSRS各项评分及总分上存在交互作用(P<0.05)。其中,干预完成时两组主观支持、对支持的利用度评分及总分比较,差异有统计学意义(P<0.05);干预后6个月时两组SSRS各项评分及总分比较,差异有统计学意义(P<0.05)。两组RSS�
Objective To investigate the short-term effects and long-term effects of group psychotherapy on family caregivers of patients with chronic schizophrenia in community.Methods A total of 80 patients with chronic schizophrenia and one main family caregiver of each of them were selected in Hudong community health service center of Pudong New Area in Shanghai from January to February in 2016.The 80 family caregivers were randomly divided into the control group(n=40)and the observation group(n=40).Routine follow-up and health education were given to the control group while additional group psychotherapy was given to the observation group besides routine follow-up and health education.Interventions in these two groups lasted for 8 weeks.The mental status of family caregivers were evaluated by Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Life Satisfaction Index A Scale(LSIA),Family Burden Scale(FBS),Social Support Rating Scale(SSRS)and Relative Stress Scale(RSS)at baseline(week 0),completion time of intervention(week 8)and 6 months after intervention.Results The scores of SAS,SDS and LSIA were significantly different not only between two groups but also at different time points(P<0.05),while there was an interaction effect among groups and time points on SAS,SDS and LSIA scores(P<0.05).In addition,the scores of SAS,SDS and LSIA were significantly different between two groups at week 8 and 6 months after intervention(P<0.05).The FBS scores of the impact on family daily activities and the impact on family members'physical health were significantly different not only between two groups but also at different time points(P<0.05),while there was an interaction effect among groups and time points on the total FBS scores as well as the subscores of the impact on family daily activities,the impact on family relationships,and the impact on family members'physical health(P<0.05).In addition,the subscores of the impact on family daily activities and the impact on family members'physical health were significantly
作者
刘晓亲
龚定宏
LIU Xiao-qin;GONG Ding-hong(Hudong Community Health Service Centre,Pudong New Area,Shanghai 200129,China)
出处
《中国全科医学》
CAS
北大核心
2018年第7期867-873,共7页
Chinese General Practice
基金
上海市浦东新区卫生和计划生育委员会科技发展专项基金(PW2015C-8)--团体心理治疗干预社区慢性精神分裂症患者家庭照料者心理健康与康复技巧评价
