团体干预模式对首发精神分裂症患者精神症状及社会功能的影响
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摘要
目的:探讨团体干预模式对首发精神分裂症患者精神症状及社会功能的影响。方法:选取2016年收治的首发精神分裂症患者60例,随机分为干预组与对照组,干预组全程给予团体模式的干预。于入组时、出院后3个月、6个月对两组患者进行社会功能缺陷筛选量表(SDSS)、阳性和阴性症状量表(PANSS)、药物管理形式及用药知识和不良反应知晓率的评定。结果:两组患者在入院时SDSS、PANSS量表评分的差异均无统计学意义(P>0.05)。出院后3个月,干预组的SDSS总分明显低于对照组(P<0.01),PANSS量表中阳性症状、一般症状及总分的评分低于对照组(P<0.05),阴性症状评分与对照组无显著差异(P>0.05);出院后6个月,干预组的SDSS总分明显低于对照组(P<0.01),PANSS量表中阳性症状、阴性症状、一般症状及总分的评分均明显低于对照组(P<0.01)。干预组患者出院后6个月时,药物自行管理能力明显优于对照组(P<0.01),用药知识和不良反应知晓率亦明显高于对照组(P<0.01)。结论:团体干预模式能持续改善首发精神分裂症患者的精神症状,提高日常的社会功能,可作为精神科患者康复治疗的有效手段之一。
Objective: To explore the impact of group intervention model on mental symptoms and social function of patients with first-episode schizophrenia. Methods: A total of 60 cases of first-episode schizophrenia who were admitted to hospital in 2016,were randomly divided into intervention group and control group of 30 cases. The intervention group was given the interventi-on of group model in the whole course. The social disability screening schedule(SDSS),the positive and negative syndrome scale(PANSS),drug management forms and awareness of drug knowledge and adverse reactions were assessed at admission,at 3 months and 6 months after discharge. Results: There was no significant difference in the scores of SDSS and PANSS scales between the two groups at admission(P > 0.05). 3 months after discharge,the score of SDSS of intervention group was significantly lower than the control group(P < 0.01); and the score of positive symptoms,general symptoms and total score in the PANSS scale was lower than the control group(P <0.05),and there was no significant difference in negative symptoms between the two groups(P > 0.05). 6 months after discharge,the score of SDSS in the intervention group was significantly lower than the control group(P < 0. 01),and the scores of positive symptoms,negative symptoms,general symptoms and total socres in PANSS scale were all significantly lower than the control group(P <0.01). The self-management ability of the drug in the intervention group was significantly better than that of the control group at 6 months after discharge(P < 0.01),and the awareness of drug knowledge and adverse reactions were also significantly higher than that of the control group(P <0.01). Conclusions: Group intervention can improve the mental symptoms of first episode schizophrenic patients and improve their daily social function,which can be used as one of the effective means of rehabilitation therapy for psychiatric patients.
Objective: To explore the impact of group intervention model on mental symptoms and social function of patients with first-episode schizophrenia. Methods: A total of 60 cases of first-episode schizophrenia who were admitted to hospital in 2016,were randomly divided into intervention group and control group of 30 cases. The intervention group was given the interventi-on of group model in the whole course. The social disability screening schedule(SDSS),the positive and negative syndrome scale(PANSS),drug management forms and awareness of drug knowledge and adverse reactions were assessed at admission,at 3 months and 6 months after discharge. Results: There was no significant difference in the scores of SDSS and PANSS scales between the two groups at admission(P > 0.05). 3 months after discharge,the score of SDSS of intervention group was significantly lower than the control group(P < 0.01); and the score of positive symptoms,general symptoms and total score in the PANSS scale was lower than the control group(P <0.05),and there was no significant difference in negative symptoms between the two groups(P > 0.05). 6 months after discharge,the score of SDSS in the intervention group was significantly lower than the control group(P < 0. 01),and the scores of positive symptoms,negative symptoms,general symptoms and total socres in PANSS scale were all significantly lower than the control group(P <0.01). The self-management ability of the drug in the intervention group was significantly better than that of the control group at 6 months after discharge(P < 0.01),and the awareness of drug knowledge and adverse reactions were also significantly higher than that of the control group(P <0.01). Conclusions: Group intervention can improve the mental symptoms of first episode schizophrenic patients and improve their daily social function,which can be used as one of the effective means of rehabilitation therapy for psychiatric patients.
引文
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[2]吴逢春,黄园园,李荷花,等.精神分裂症患者出院后2年的复发情况调查[J].临床精神医学杂志,2016,26(3):162~164.
[3]翁永振.精神分裂症的康复操作手册[M].第2版.北京:人民卫生出版社,2016.175,332.
[4]谭莉,曹丽,刘建新,等.精神分裂症患者认知功能障碍[J].中国健康心理学杂志,2013,21(2):172~174.
[5]陈学全,汪凯,董毅.精神分裂症社会认知功能研究进展[J].中国神经精神疾病杂志,2012,38(8):502~505.
[6]张丽丽.康复技能训练对恢复期精神分裂症患者社会功能的影响[J].中国民康医学,2015,27(16):3~5.