CAJ | 학술논문

目的：研究强化认知行为干预对精神分裂症患者康复效果的影响。方法将我院收治的240例精神分裂症患者随机分成3组（A组、B组、C组），三组患者均予以抗精神病药物治疗和常规护理。A组接受常规干预；B组接受临床导向的自知力教育；C组接受认知为导向的自知力教育。结果 A组干预前后的IPROS各项评分比较，无明显差异（P>0.05）；B组、C组干预后的IPROS各项评分均较干预前显著降低（P<0.05）；且C组患者的IPROS各项评分明显低于B组，P<0.05；A组患者干预后的NOSIE评分均较干预前有所改善，但无明显差异（P>0.05）；B组、C组干预后的NOSIE评分均较干预前有显著改善（P<0.05）；C组的改善程度明显优于B组（P<0.05）。结论对精神分裂症患者加强认知行为干预，可有效改善患者的残留症状，提高患者的社会功能、生活质量，加快疾病康复。
목적：연구강화인지행위간예대정신분렬증환자강복효과적영향。방법장아원수치적240례정신분렬증환자수궤분성3조（A조、B조、C조），삼조환자균여이항정신병약물치료화상규호리。A조접수상규간예；B조접수림상도향적자지력교육；C조접수인지위도향적자지력교육。결과 A조간예전후적IPROS각항평분비교，무명현차이（P>0.05）；B조、C조간예후적IPROS각항평분균교간예전현저강저（P<0.05）；차C조환자적IPROS각항평분명현저우B조，P<0.05；A조환자간예후적NOSIE평분균교간예전유소개선，단무명현차이（P>0.05）；B조、C조간예후적NOSIE평분균교간예전유현저개선（P<0.05）；C조적개선정도명현우우B조（P<0.05）。결론대정신분렬증환자가강인지행위간예，가유효개선환자적잔류증상，제고환자적사회공능、생활질량，가쾌질병강복。
ObjectiveTo study the strengthening effect of cognitive behavior intervention on the rehabilitation of patients with schizophrenia effect of spirit.Methods240 cases of mental admitted to our hospital for schizophrenia patients were randomly divided into 3 groups (A group, B group, C group), three patients were treated with antipsychotic drug therapy and routine nursing care. A group received routine intervention; group B received clinical oriented insight education; C group received cognitive oriented insight education.ResultsCompared with A group before and after intervention of IPROS scores, no signiifcant difference (P>0.05); B group, C group after the intervention of IPROS scores were signiifcantly lower than those before intervention (P<0.05);and C in patients with IPROS scores were signiifcantly lower than the B group,P<0.05; patients in group A the intervention of NOSIE scores were compared with before intervention has improved, but no signiifcant difference (P>0.05); B group, C group after the intervention of NOSIE scores were signiifcantly improved compared with before intervention by (P<0.05); C group improved signiifcantly better than the B group (P<0.05).ConclusionFor patients with schizophrenia cognitive behavior intervention, residual symptoms can effectively improve patient, improve social function, quality of life of the patients, accelerate rehabilitation.