摘要:
目的?探讨意念与模仿行为训练对慢性精神分裂症患者康复的影响.方法?选择2016年在福建省福州神经精神病防治院住院治疗的精神分裂症患者200例,按照随机数字表法随机分为研究组和对照组,各100例.对照组采用常规护理,研究组在此基础上应用意念与模仿行为训练8周.采用威斯康星卡片分类测验(WCST)、护士用住院患者观察量表(NOSIE)、个人和社会功能量表(PSP)比较两组康复效果.结果?干预8周后,研究组患者WCST评分中正确应答评分(24.78±7.39)分,高于对照组;持续错误评分(14.78±5.27)分,低于对照组;差异均有统计学意义(t值分别为3.800、3.640;P<0.01).干预8周后,研究组患者NOSIE(200.06±26.09)分、PSP(79.83±4.21)分,均高于对照组,差异有统计学意义(t值分别为6.880、19.040;P<0.01).结论?意念与模仿训练有利于促进患者认知功能的改变,对注意力,记忆力,语言,推理能力有明显提高,生活自理能力及社会功能的提高,有助于慢性精神分裂症患者病情的康复.%Objective?To explore the effects of ideation and imitation behavior training on rehabilitation in patients with chronic schizophrenia. Methods?Totally 200 schizophrenia patients admitted and treated in 2016 from Fuzhou Neuro-Psychiatric Hospital were selected and equally randomized to treatment group (n=100) and control group (n=100) according to the random number table. Patients in the control group received conventional nursing, while patients in the treatment group received ideation and imitation behavior training for 8 weeks on this basis. Wisconsin Card Sorting Test (WCST), Nurses' Observation Scale for Inpatient Evaluation (NOISE) and Personal and Social Performance Scale (PSP) were used to compare the rehabilitation effects between the two groups. Results?After intervention for 8 weeks, the score for correct response in WCSI in patients in the treatment group was (24.78±7.39), higher than that of patients in the control group, and the score for continuous mistakes in WCSI in patients in the treatment group was (14.78±5.27), lower than that of patients in the control group (t=3.800, 3.640;P<0.01). After intervention for 8 weeks, the scores for NOISE (200.06±26.09) and PSP (79.83±4.21) in patients in the treatment group were higher than those of patients in the control group (t=6.880, 19.040;P<0.01). Conclusions?Ideation and imitation behavior training helps to improve the patients' cognitive performance, including attention, memory, linguistic competence and reasoning ability, as well as self-care ability of daily living and social function, and promotes chronic schizophrenia patients' rehabilitation.