认知行为干预对慢性精神分裂症患者社会功能恢复及院外康复的促进作用

摘要

Objective: To analyze the effectof cognitive-behavioral intervention on chronic schizophrenia patients’ social function and rehabilitation.Methods:Choosed chronic schizophrenia patients in our hospital as research subjects,treated with conventional intervention and targeted cognitive-behavioral intervention,compared with social function score,psychiatric symptom scores,insight and treatment attitudes Rating.Results:(1)Oservation group patients’ social disability score,total score and total negative factors score were significantly lower than control group patients,total positive factor score was significantly higher than control group patients (P<0.05);(2)Observation group patients’ total psychiatric symptom score,positive scores and negative scores were significantly lower than control group patients(P<0.05);(3)Observation group patients various time points ITAQ scores after receiving intervention were significantly higher than control group patients (P<0.05).Conclusion:Cognitive-behavioral interventions can effectively improve social function in patients with chronic schizophrenia,reduce psychotic symptoms,improve insight.%目的：分析认知行为干预对慢性精神分裂症患者社会功能恢复及院外康复的影响。方法：选择在本院接受治疗的慢性精神分裂症患者作为研究对象，分别接受常规干预及针对性认知行为干预，比较两组患者的社会功能评分、精神病症状评分、自知力与治疗态度评分差异。结果：（1）观察组患者接受认知行为干预后的社会功能缺陷评分、护士观察病情总分及总消极因素分均明显低于对照组患者，护士观察量表总积极因素分明显高于对照组患者（P＜0.05）；（2）观察组患者接受认知行为干预后的精神病症状总分、阳性量表分、阴性量表分均明显低于对照组患者（P＜0.05）；（3）观察组接受干预后的各个时间点ITAQ评分均明显高于对照组患者（P＜0.05）。结论：认知行为干预可以有效提高慢性精神分裂症患者的社会功能、减轻精神病症状、提高自知力。