支持性心理干预联合康复训练对慢性精神分裂症远期治疗效果的影响

摘要

目的 探讨支持性心理干预联合康复训练在慢性精神分裂症患者中的应用效果.方法 采用随机数字表法将122例慢性精神分裂症患者分为两组,对照组61例予以抗精神病药物常规治疗,治疗组61例在对照组基础上给予支持性心理干预联合康复训练,比较两组患者治疗12周后的治疗效果、阴性症状量表评分、精神症状评分、生活质量评分及社会功能评分.结果 经12周的治疗后,对照组治疗总有效率为55.74％ (34/61),治疗组为73.77％ (45/61),差异有统计学意义(P＜0.05);治疗组阴性症状量表(简称SANS)、精神病评定表(简称BPRS)、生活质量量表(简称QOL)以及社会功能评定表(DAS)评分均显著优于对照组(P＜0.05).结论 支持性心理干预联合康复训练能提高慢性精神分裂症治疗的临床疗效,改善患者病情,提高其生活自理能力,改善患者阴性症状、生活质量,促进社会功能康复.%Objective To explore the effect of supportive psychological intervention combined with rehabilitation training in the treatment of chronic schizophrenia.Methods A total of 122 patients were divided into two groups by random number table,each with 61 cases.The control group applied conventional antipsychotic drug treatment,while the treatment group used supportive psychological intervention combined with rehabilitation training on the basis of conventional antipsychotic drug treatment.The clinical efficacy,Scale for the Assessment of Negative Symptoms (SANS),Brief Psychiatric Rating Scale (BPRS),Quality of Life (QOL),Disability Assessment Schedule (DAS) were compared between the two groups 12 weeks after treatment.Results After 12 weeks of treatment,total effective rate was 55.74％ (34/61) in the control group and 73.77％ (45/61) in the treatment group,with statistically significant difference between the two groups.The scores of SANS,BPRS,QOL,DAS in the treatment group were significantly better than those in the control group (P＜0.05).Conclusion Supportive psychological intervention combined with rehabilitation training can increase the clinical efficacy of chronic schizophrenia,improve negative symptoms and quality of life,and promote the rehabilitation of social function.