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郭彦杨,李菲,覃燕燕,李志英,朱伟方.认知行为治疗对惠州市精神分裂症患者社会功能和生活质量影响的研究[J].中国医药科学,2020,(1):244-247        基金项目:广东省惠州市医疗卫生类科技计划项目 (2017Y102)
认知行为治疗对惠州市精神分裂症患者社会功能和生活质量影响的研究
Research on effects of cognitive behavioral therapy on social function and quality of life in patients with schizophrenia in Huizhou city
  
DOI:
中文关键词:  认知行为治疗;精神分裂症;社会功能;生活质量
英文关键词:Cognitive behavioral therapy; Schizophrenia; Social function; Quality of life
作者单位
郭彦杨,李菲,覃燕燕,李志英,朱伟方 广东省惠州市第二人民医院,广东惠州 516001 
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中文摘要:
      [摘要] 目的 研究认知行为治疗对精神分裂症患者社会功能与生活质量的影响,为今后的治疗方案选择提供参考依据。方法 本组研究以惠州市第二人民医院于 2017 年 1 月 ~ 2018 年 12 月收治的 304 例精神分裂患者作为研究样本,所有患者在本研究前均未接受过任何形式的认知行为治疗,入组后采精神分裂症患者生活质量量表(SQLS)和社会功能评定量表(SSPI) 分别对所有患者的社会功能与生活质量进行评估,同时均给予利培酮治疗,并在药物治疗的基础上联合认知行为治疗,治疗 8 周后,再次对本组患者的社会功能与生活质量进行复评,并对治疗前、后评估结果进行比较,最后计算出本组患者的临床治疗总有效率。结果 (1)治疗后,患者的临床总有效率为 88.49%。(2) 治疗后,本组患者的心理社会、动机与精力、症状 /副反应评分分别为(19.03±7.45)分、(31.75±5.72)分、(16.24±6.44)分,总分为(68.45±8.28)分,均明显低于治疗前,差异有统计学意义(P < 0.05);(3) 治疗后,本组患者的日常生活能力、动性和交往、社会技能评分分别为(13.64±3.75)分、(11.09±2.63)分、(9.34±1.45)分,总分为(33.28±3.78)分,均明显高于治疗前,差异有统计学意义(P < 0.05)。结论 精神分裂症患者的治疗中,在常规药物治疗的基础上联合认知疗法治疗能够明显改善患者的社会功能与生活质量,疗效确切,值得推广。
英文摘要:
      [Abstract] Objective To study effects of cognitive behavioral therapy on social function and quality of life in patients with schizophrenia and provide references for future treatment regimens. Methods Three hundred and four patients with schizophrenia who were admitted and treated in Huizhou Second People’s Hospital from January 2017 to December 2018 were selected as research samples. All patients did not receive any form of cognitive behavioral therapy before this study. After enrollment, the quality of life scale (SQLS) and social function rating scale (SSPI) of patients with schizophrenia were used to evaluate the social function and quality of life of all patients, and all patients were treated with risperidone. On basis of drug therapy, they were also given cognitive behavioral therapy. After 8 weeks of treatment, the social function and quality of lifeof patients of this group were re-evaluated again. The results of the evaluation before and after treatment were compared and analyzed, and the total effective rate of clinical treatment of patients of this group was finally calculated. Results (1)After treatment, the total clinical effective rate of patients was 88.49%. (2) After treatment, the psychosocial score, motivation and energy score, symptom/side reaction score and the total score of this group were respectively (19.03±7.45), (31.75±5.72), (16.24±6.44) and (68.45±8.28), all significantly lower than those before treatment. The difference was statistically significant (P< 0.05). (3) After treatment, the daily living ability, motility and communication, social skills scores and the total score of this group were respectively(13.64±3.75), (11.09±2.63), (9.34±1.45), and (33.28±3.78). The difference was statistically significant (P < 0.05). Conclusion Cognitive behavioral therapy on basis of routine drug treatment in treatment of patients with schizophrenia can significantly improve the social function and quality of life of patients. It has accurate curative effects, which is worthy of promotion.
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