摘要
【目的】研究系统式集体音乐治疗(systematic group music therapy,SGMT)模式对社区精神分裂症患者的社会、生活功能及生存质量的影响。【方法】按系统抽样的方法抽取160名患者,按1:1配对,80例为干预组,另80例为对照组。对干预组实施系统式集体音乐治疗(SGMT)干预,对照组接受常规社区精神病康复管理。使用日常生活能力量表(ADL)、社会功能缺陷筛选量表(SDSS)、社会适应不良量表(SOC)分别对两组患者干预前与干预第18个月时的社会、生活功能进行比较;采用WHO生存质量简明量表(WHOQOL-BREF)对两组患者干预前后生存质量得分进行比较。【结果】在实施干预后的第18个月,与对照组比较,干预组的社会、生活功能得分降低明显(均P<0.05);生存质量评价中,干预组生理健康、心理健康和社会关系维度得分均高于对照组患者,两组差异有统计学意义(均P<0.05),周围环境维度两组差异不明显(P>0.05)。【结论】实施SGMT干预,能有效地改善社区分裂症患者社会、生活功能,提高其生存质量。
[Objective]To study the effect of systemic group music therapy(SGMT)on social living function and life quality in patients with schizophrenia.[Methods]By systematic sampling,160 patients were divided into intervention group(80 patients)and control group(80 patients).Patients in the intervention group were treated by SGMT,and the control group was treated by general care.Comparison was made before intervention and 18 months after intervention on the following:scores of social living function as determined by the Activity of Daily Living Scale(ADL),Social Disability Screening Schedule(SDSS),and Social Maladjustment(SOC)scale.The WHO quality of Life-BREF scale was used to analyze score changes of patients′life quality.[Results]ADL,SDSS and SOC scores of the patients in intervention group were significantly lower than those in control group(P values all<0.05).In comparison of the life quality scores,physical health,mental health and social relationship scores were higher in intervention group than those in control group(P values all<0.05).There was no significant difference between two groups in environment scores(P>0.05).[Conclusion]Implementation of SGMT intervention can efficiently improve patients′social living function and quality of life.
作者
孙一颖
傅伟忠
孙喜蓉
陈发展
秦虹云
张洁
蒋婷婷
SUN Yi-ying;FU Wei-zhong;SUN Xi-rong;CHEN Fa-zhan;QIN Hong-yun;ZHANG Jie;JIANG Ting-ting(Shanghai Pudong Mental Health Centre,Shanghai Pudong Mental Health Disease Control and Prevention Centre,Shanghai 200124,China)
出处
《上海预防医学》
CAS
2020年第10期816-820,共5页
Shanghai Journal of Preventive Medicine
基金
上海市卫生健康委员会科研课题(201740290)
上海市浦东新区卫生健康委员会重点学科建设(PWZxk2017-29)
上海市浦东新区医学临床高原学科建设项目(PWYgy2018-10)
上海市浦东新区精神卫生中心课题(PDJWM201701)。
