中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2009年
9期
808-810
,共3页
陈飞%马世民%杨永杰%王庆玲%靳自斌
陳飛%馬世民%楊永傑%王慶玲%靳自斌
진비%마세민%양영걸%왕경령%근자빈
阅读疗法%精神分裂症%自知力%依从性%复发
閱讀療法%精神分裂癥%自知力%依從性%複髮
열독요법%정신분렬증%자지력%의종성%복발
Bibliotherapy%Schizophrenia%Cognition%Therapy compliance%Recurrence
目的 探讨阅读疗法对缓解期精神分裂症患者自知力恢复、治疗依从性及复发的影响.方法 将120例精神分裂症患者随机分为研究组和对照组各60例.疗程8周,出院后随访1年.采用简明精神病量表(BPRS)、自知力与治疗态度问卷(ITAQ)、治疗依从性、住院天数及复发率评估患者的康复情况.结果 治疗8周后:BPRS量表评分明显低于对照组[(21.55±8.56)分,(24.64±9.45)分];ITAQ评分明显高于对照组[(10.10±4.81)分,(8.49±5.12)分];治疗依从性研究组分别为:完全依从为75.0%,部分依从为20.0%,不依从为5.0%;对照组分别为51.7%、34.5%、13.8%,差异有显著性意义(P<0.01).1年末随访:BPRS量表评分明显低于对照组;ITAQ评分明显高于对照组;治疗依从性研究组分别为:完全依从为63.3%,部分依从为26.7%,不依从为10.0%;对照组分别为36.2%、25.9%、37.9%,差异有显著性(P<0.01).复发率明显低于对照组,差异有显著性(P<0.01);平均住院天数明显短于对照组,分别为(58±7)d和(76±18)d,差异有显著性(P<0.01).结论 阅读疗法不仅有助于精神分裂症患者精神症状的改善、而且能恢复自知力、缩短住院时间、提高治疗依从性和降低复发率.
目的 探討閱讀療法對緩解期精神分裂癥患者自知力恢複、治療依從性及複髮的影響.方法 將120例精神分裂癥患者隨機分為研究組和對照組各60例.療程8週,齣院後隨訪1年.採用簡明精神病量錶(BPRS)、自知力與治療態度問捲(ITAQ)、治療依從性、住院天數及複髮率評估患者的康複情況.結果 治療8週後:BPRS量錶評分明顯低于對照組[(21.55±8.56)分,(24.64±9.45)分];ITAQ評分明顯高于對照組[(10.10±4.81)分,(8.49±5.12)分];治療依從性研究組分彆為:完全依從為75.0%,部分依從為20.0%,不依從為5.0%;對照組分彆為51.7%、34.5%、13.8%,差異有顯著性意義(P<0.01).1年末隨訪:BPRS量錶評分明顯低于對照組;ITAQ評分明顯高于對照組;治療依從性研究組分彆為:完全依從為63.3%,部分依從為26.7%,不依從為10.0%;對照組分彆為36.2%、25.9%、37.9%,差異有顯著性(P<0.01).複髮率明顯低于對照組,差異有顯著性(P<0.01);平均住院天數明顯短于對照組,分彆為(58±7)d和(76±18)d,差異有顯著性(P<0.01).結論 閱讀療法不僅有助于精神分裂癥患者精神癥狀的改善、而且能恢複自知力、縮短住院時間、提高治療依從性和降低複髮率.
목적 탐토열독요법대완해기정신분렬증환자자지력회복、치료의종성급복발적영향.방법 장120례정신분렬증환자수궤분위연구조화대조조각60례.료정8주,출원후수방1년.채용간명정신병량표(BPRS)、자지력여치료태도문권(ITAQ)、치료의종성、주원천수급복발솔평고환자적강복정황.결과 치료8주후:BPRS량표평분명현저우대조조[(21.55±8.56)분,(24.64±9.45)분];ITAQ평분명현고우대조조[(10.10±4.81)분,(8.49±5.12)분];치료의종성연구조분별위:완전의종위75.0%,부분의종위20.0%,불의종위5.0%;대조조분별위51.7%、34.5%、13.8%,차이유현저성의의(P<0.01).1년말수방:BPRS량표평분명현저우대조조;ITAQ평분명현고우대조조;치료의종성연구조분별위:완전의종위63.3%,부분의종위26.7%,불의종위10.0%;대조조분별위36.2%、25.9%、37.9%,차이유현저성(P<0.01).복발솔명현저우대조조,차이유현저성(P<0.01);평균주원천수명현단우대조조,분별위(58±7)d화(76±18)d,차이유현저성(P<0.01).결론 열독요법불부유조우정신분렬증환자정신증상적개선、이차능회복자지력、축단주원시간、제고치료의종성화강저복발솔.
Objective To investigate the effect of the bibliotherapy on insight recovering.drug therapy compliance and recurrence in remitted schizophrenia patients.Method 120 schizophrenia patients were randomly divided into the study group and the control group,with 60 cases in each group.The control group were only treated with drugs and the study group were treated with drugs plus bibliotherapy.Compared after 8 weeks treatment and a one-year follow-up was carried out after their discharge from hospital.The clincal efficacy was evaluated by the-Brief Psychiatric Rating Scale(BPRS),the Insight and Treatment Attitude Questionnaire(ITAQ),drug therapy compliance,hospital day and recurrence.Results After treatment 8 weeks,the scale of BPRS of study group lower than that of control group(21.55±8.56 and 24.64±9.45).and the scale of ITAQ of study group higher than that of control group(10.10±4.81 and 8.49±5.12);compliance of study group was better than that of control group(totally compliance:75%and 51.7%,partly compliance:20.0%and 34.5%,none compliance:5.0%and 13.8%,P＜0.01).At the end of 1 year,the scale of BPRS of study group lower than that of control group;the scale of ITAQ of study group higher than that of control group and compliance of study group was better than that of control group(totally compliance:63.3%and 36.2%,partly compliance:26.7%and 25.9%,none compliance:10.0%and 37.9%,P＜0.01).The recurrence rate of study group was lower than that of control group.The average hospital day of study group was shorter than that of control group[(58±7)d and(76±18)d.P＜0.01].Conclusion Bibliotherapy not only is beneficial to the treatment for schizophrenia patients.but also can makes shorter hospital day,lower of these patients the rate of recurrence.
