摘要
目的探讨朗读训练对改善慢性精神分裂症患者阴性症状的疗效,为慢性精神分裂症患者的康复治疗提供新方法。方法2020年3~6月选择河北省某精神病医院慢性精神分裂症患者90例,随机分成观察组和对照组,对照组给予常规综合治疗,观察组在常规综合治疗基础上加朗读训练。采用阳性与阴性量表(PANSS)和精神科护理观察量表(NOSIE)在干预前后进行问卷测评,用PANSS阴性症状得分作为干预效果的评定指标,NOSIE量表得分作为补充信息。两组患者均在医院接受4个月的综合治疗。结果①与干预前比较,两组患者PANSS阳性得分、阴性得分、一般病理得分和总分都显著降低(P<0.001)。干预后,两组患者PANSS得分比较,观察组阴性症状得分和病情总估计得分显著降低(t=-3.355、P<0.05,t=-2.571、P<0.01);而阳性得分和一般病理得分差异不显著。②与干预前比较,两组患者NOSIE病情总估计、积极因素、消极因素得分均有显著差异(P<0.001)。干预后,观察组和对照组比较,观察组NOSIE病情总估计得分和总积极因素得分显著提高(t=8.421、P<0.001,t=8.794、P<0.001);而总消极因素得分差异不显著。结论朗读训练对改善慢性精神病患者的阴性症状有较好疗效,是一种有效的康复治疗手段。
Objective To explore the effect of reading aloud training on improving negative symptoms of chronic schizophrenia,to provide a new method for rehabilitation treatment of patients with chronic schizophrenia.Methods A total of 90 patients with chronic schizophrenia in a psychiatric hospital in Hebei Province,randomly divided into observation group and control group.The control group was given routine comprehensive treatment,observation group in routine comprehensive treatment plus reading training.Using the positive and negative scale(PANSS)and the psychiatric nursing observation scale(NOSIE),PANSS negative symptom score was used as the evaluation index of intervention effect,NOSIE scale scores as supplementary information.Both groups received 4 months of comprehensive treatment in the hospital.Results①Compared with pre-intervention,the positive score,negative score,general pathological score and total score PANSS of both groups were significantly decreased(P<0.001).After the intervention,comparison PANSS of observation group and control group,negative symptom score(t=-3.355,P<0.05)and total score(t=-2.571,P<0.01),the difference was significant.The negative symptom score and the total condition estimate score of the observation group decreased significantly after the intervention;But the difference between positive score and general pathological score was not significant.②Compared to before the intervention,there were significant differences on NOSIE total estimation,positive and negative factors scores between the two groups(P<0.001).After the intervention,comparison of observation group and control group,NOSIE total estimate(t=8.421,P<0.001)and total positive factor score(t=8.794,P<0.001),the difference was significant.The scores of positive factors and the total estimate of the disease were significantly improved after the intervention;But the total negative factor score difference was not significant.Conclusion Reading aloud training has good effect on improving negative symptoms of chronic schizophrenia pa
作者
杨美荣
杜海晶
石晓娟
YANG Meirong;DU Haijing;SHI Xiaojuan(School of Psychology and Mental Health,North China University of Science and Technology,Tangshan 063210,China)
出处
《华北理工大学学报（医学版）》
2021年第3期217-221,227,共6页
Journal of North China University of Science and Technology：Health Sciences Edition
关键词
慢性精神分裂症
阴性症状
朗读训练
康复治疗
Chronic schizophrenia
Negative symptoms
Reading aloud training
Rehabilitation treatment
