中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
28期
3352-3355
,共4页
精神分裂症%康复%分阶段行为治疗
精神分裂癥%康複%分階段行為治療
정신분렬증%강복%분계단행위치료
Chronic schizophrenia%Rehabilitation%Phased behavior therapy
目的 探讨分阶段奖酬行为疗法对精神分裂症患者的康复效果.方法 将60例患者按住院先后顺序分为治疗组和对照组各30例.在药物治疗和传统护理的基础上,治疗组参与奖酬行为疗法6个月;对照组接受常规工娱治疗活动,分别于治疗前和治疗6个月后予简明精神病评定量表(BPRS)、精神分裂症阳性症状量表(SAPS)、阴性症状量表(SANS)和住院精神患者康复疗效评定量表(IPROS)评判患者社会功能方面的缺陷程度、病情缓解程度和康复疗效.结果 治疗组BPRS、IPROS总均分低于对照组,两组比较差异有统计学意义[(8.81±6.41)分比(11.10±8.5)分,(19.15±14.11)分比(31.14±16.10)分;t分别为3.18,7.61;P＜0.01].治疗组精神分裂症SAP、SANS评分低于对照组,两组比较差异具有统计学意义[(7.31±1.51)分比(10.16±2.10)分,(12.32±2.16)分比(15.65±1.48)分;t分别为3.62,3.12;P＜0.01].结论奖酬行为疗法有利于减轻精神分裂症患者部分精神症状,提高自理能力,防止延缓衰退,早日恢复精神功能.
目的 探討分階段獎酬行為療法對精神分裂癥患者的康複效果.方法 將60例患者按住院先後順序分為治療組和對照組各30例.在藥物治療和傳統護理的基礎上,治療組參與獎酬行為療法6箇月;對照組接受常規工娛治療活動,分彆于治療前和治療6箇月後予簡明精神病評定量錶(BPRS)、精神分裂癥暘性癥狀量錶(SAPS)、陰性癥狀量錶(SANS)和住院精神患者康複療效評定量錶(IPROS)評判患者社會功能方麵的缺陷程度、病情緩解程度和康複療效.結果 治療組BPRS、IPROS總均分低于對照組,兩組比較差異有統計學意義[(8.81±6.41)分比(11.10±8.5)分,(19.15±14.11)分比(31.14±16.10)分;t分彆為3.18,7.61;P＜0.01].治療組精神分裂癥SAP、SANS評分低于對照組,兩組比較差異具有統計學意義[(7.31±1.51)分比(10.16±2.10)分,(12.32±2.16)分比(15.65±1.48)分;t分彆為3.62,3.12;P＜0.01].結論獎酬行為療法有利于減輕精神分裂癥患者部分精神癥狀,提高自理能力,防止延緩衰退,早日恢複精神功能.
목적 탐토분계단장수행위요법대정신분렬증환자적강복효과.방법 장60례환자안주원선후순서분위치료조화대조조각30례.재약물치료화전통호리적기출상,치료조삼여장수행위요법6개월;대조조접수상규공오치료활동,분별우치료전화치료6개월후여간명정신병평정량표(BPRS)、정신분렬증양성증상량표(SAPS)、음성증상량표(SANS)화주원정신환자강복료효평정량표(IPROS)평판환자사회공능방면적결함정도、병정완해정도화강복료효.결과 치료조BPRS、IPROS총균분저우대조조,량조비교차이유통계학의의[(8.81±6.41)분비(11.10±8.5)분,(19.15±14.11)분비(31.14±16.10)분;t분별위3.18,7.61;P＜0.01].치료조정신분렬증SAP、SANS평분저우대조조,량조비교차이구유통계학의의[(7.31±1.51)분비(10.16±2.10)분,(12.32±2.16)분비(15.65±1.48)분;t분별위3.62,3.12;P＜0.01].결론장수행위요법유리우감경정신분렬증환자부분정신증상,제고자리능력,방지연완쇠퇴,조일회복정신공능.
Objective To discuss the effect of phased reward behavior therapy on rehabilitation of patients with chronic schizophrenia.Methods 60 patients were randomly divided into treatment group (30 cases) and control group (30 cases) according to admission time.The treatment group received reward behavior therapy on the basis of drug treatment and traditional nursing care,while the control group received conventional work entertainment treatment activities.Brief Psychiatric Rating Scale (BPRS),Scale for Schizophrenia Positive Symptoms (SAPS),Negative Symptoms Scale (SANS) and the efficacy of inpatient rehabilitation of mental patients rating scale (IPROS)were used to evaluate the deficiency level of social function,degree of remission and rehabilitation of the patients before and 6 months after the treatment.Results The total average score of BPRS and IPROS of the treatment group were lower than the control group and the differences were significant [(8.81 ±6.41) vs (11.10±8.5),(19.15 ±14.11 ) vs (31.14 ± 16.10 ) ;t =3.18,7.61 ;P ＜ 0.01 ].SAPS and SANS scores of the treatment group were lower than the control group,the differences were significant [ (7.31 ± 1.51) vs ( 10.16 ± 2.10),( 12.32 ± 2.16) vs ( 15.65 ±1.48) ;t =3.62,3.12;P＜0.01].Conclusions Reward behavior therapy could help reduce some of the symptoms of chronic schizophrenia,improve self-care ability,prevent deterioration and regain mental function.
