综合性心理行为干预对慢性精神分裂患者认知功能的效果分析

摘要

目的：研究综合性心理行为干预对慢性精神分裂患者的认知功能影响。方法：选取2012年2月-2013年6月笔者所在医院接受治疗的130例慢性精神分裂患者为研究对象。按照随机数字表法分为观察组和对照组，每组65例。两组均进行药物治疗，观察组病患在药物治疗的基础上采用综合性心理行为干预治疗，对照组病患采用简单的心理护理，比较两组患者认知功能。结果：观察组护理总有效率为93.85%，显著高于对照组72.31%，两组比较差异均有统计学意义(P<0.05)。观察组阳性症状、阴性症状以及一般精神病理评分均低于对照组，观察组总分(51.1±8.9)分低于对照组的(56.2±8.5)分，两组比较差异均有统计学意义(P<0.05)。观察组持续错误数、随机错误数以及正确数评分均低于对照组，观察组总分(70.2±16.7)分，低于对照组的(84.2±17.9)分，两组比较差异均有统计学意义(P<0.05)。结论：在药物治疗的基础上采用综合性心理行为干预，能够更加显著改善患者的认知功能，值得临床推荐。%Objective:To study and analyze of comprehensive psychological and behavioral intervention of cognitive function in patients with chronic schizophrenia on the effect of mental. Method:A total of 130 cases of chronic schizophrenic patients from February 2012 to June 2013 in our hospital were randomly divided into the observation group and the control group,each group of 65 cases. of two groups of patients were both given drug treatment. The observation group patients were in the drug treatment on the basis of the comprehensive psychological and behavioral intervention therapy,and the control group patients with psychological nursing simple. Patients in the two groups were compared cognitive function after treatment. Result:The effective rate of the control group was 72.31%while the observation group was 93.85%after treatment,and the difference between the two groups were statistically significant(P<0.05). The positive symptoms, negative symptoms and general mental pathological grading of the observation group were significantly lower than the control group,the total points of the control group was (56.2±8.5) while the observation group was (51.1±8.9) after treatment,and the difference between the two groups were statistically significant(P<0.05). The last count,the number of random errors,and correct mistakes of the observation group were significantly lower than the control group,the total points of the control group was (84.2±17.9) while the observation group was (70.2±16.7) after treatment,and the difference between the two groups were statistically significant(P<0.05). Conclusion:Chronic schizophrenia patients in the drug treatment on the basis of the comprehensive psychological and behavioral intervention, can significantly improve the cognitive function of patients,is worthy of recommendation.