CAJ | 학술논문

目的探讨音乐治疗联合行为训练对慢性精神分裂症患者康复效果的影响.方法将102例慢性精神分裂症患者随机分为研究组52例和对照组50例,两组患者均接受常规抗精神病药物治疗、常规工娱疗及护理;研究组在此基础上接受音乐治疗及行为训练,观察6个月.治疗前后护士用住院患者观察量表评定两组患者的康复效果.结果治疗后两组患者的观察量表总估计分及社会能力、社会兴趣、个人整洁积极因子分均较治疗前有显著提高,研究组较对照组提高显著(P ＜0.05或0.01);易激惹、精神病表现、迟缓消极因子分均较治疗前有显著下降,研究组较对照组下降,差异有统计学意义(P＜0.05).结论音乐治疗联合行为训练能有效缓解慢性精神分裂症患者的精神症状、改善其社会功能、提高生活质量和社会适应能力,对患者的康复具有显著的促进作用.
목적 탐토음악치료연합행위훈련대만성정신분렬증환자강복효과적영향.방법 장102례만성정신분렬증환자수궤분위연구조52례화대조조50례,량조환자균접수상규항정신병약물치료、상규공오료급호리;연구조재차기출상접수음악치료급행위훈련,관찰6개월.치료전후호사용주원환자관찰량표평정량조환자적강복효과.결과 치료후량조환자적관찰량표총고계분급사회능력、사회흥취、개인정길적겁인자분균교치료전유현저제고,연구조교대조조제고현저(P ＜0.05혹0.01);역격야、정신병표현、지완소겁인자분균교치료전유현저하강,연구조교대조조하강,차이유통계학의의(P＜0.05).결론 음악치료연합행위훈련능유효완해만성정신분렬증환자적정신증상、개선기사회공능、제고생활질량화사회괄응능력,대환자적강복구유현저적촉진작용.
Objective To investigate the influence of musical therapy combined with behavioral training on rehabilitation of patients with chronic schizophrenia.Methods One hundred and two patients with chronic schizophrenia were randomly divided into two groups.Patients in both groups received routine antipsychotics treatment,routine work,recreational therapy and nursing care.While the patients in research group were given musical therapy and behavioral training for six months in addition.Before and after 6 months training,the patients in the two groups were evaluated by the nurses' observation scale (NOSIE) for inpatient evaluation.Results After training,the general scores of NOSIE and social ability,social interest and individual neat of the NOSIE in both groups elevated,but those in research group were higher than those in control group (P ＜0.05 or 0.01) ; scores of negative factor such as irritability,psychotic manifest and retardation were lower after treatment,and those in research group were lower than those in control group (P ＜ 0.05).Conclusions Musical therapy combined with behavioral training can effectively relieve mental symptoms,improve social function,quality of life and social adaptation,and has notable promotive effect on the rehabilitation of patients.