摘要
目的探究利伯曼精神康复技术对长期住院的慢性精神分裂症患者的康复效果及自知力的影响。方法选取2018年1月—2019年6月在四川省南充精神卫生中心精神科长期住院治疗的慢性精神分裂症患者84例。依据随机数字表法分为两组,每组42例。对照组患者只进行常规住院治疗护理,不进行其他任何康复训练。试验组患者在进行与对照组完全相同的常规住院治疗护理基础上联合利伯曼精神康复训练法。分别在康复训练前与训练后3个月使用阳性与阴性症状量表(PANESS)、自知力和态度问卷(ITAQ)进行评价。结果对照组与试验组在康复训练前PANSS各维度、总分及ITAQ评分比较,差异无统计学意义(P>0.05)。对照组与试验组在康复训练后PANSS阳性、阴性症状评分比较,差异无统计学意义(P>0.05)。试验组康复训练后PANSS一般精神病理评分、总分均低于对照组,ITAQ评分高于对照组(P<0.05)。结论利伯曼精神康复训练能够有效改善长期住院的慢性精神分裂症患者的阴性精神症状并提高患者自知力。
Objective To explore the effect of Lieberman’s mental rehabilitation technology on the rehabilitation effect and insight of long-term hospitalized patients with chronic schizophrenia.Methods Eighty-four patients with chronic schizophrenia who were hospitalized for a long time in the psychiatric department of Nanchong Mental Health Center of Sichuan Province from January 2018 to June 2019 were selected.According to the random number table method,they were divided into two groups with 42 cases in each group.The patients in the control group only received routine hospital care and did not receive any other rehabilitation training.Patients in the experimental group were treated with the same routine hospital care as the control group,combined with Lieberman mental rehabilitation training.The Positive and Negative Syndrome Scale(PANESS)and the Insight and Attitude Questionnaire(ITAQ)were used before the experiment and 3 months after the rehabilitation training.Results There was no significant difference in PANSS dimensions,total scores and ITAQ scores between the control group and the experimental group before rehabilitation training(P>0.05).There was no significant difference in PANSS positive and negative symptom scores between the control group and the experimental group after rehabilitation training(P>0.05).After rehabilitation training,PANSS psychopathology score and total score in the experimental group were lower than those in the control group,while ITAQ score was higher than that in the control group(P<0.05).Conclusion Lieberman mental rehabilitation training can effectively improve the negative mental symptoms of chronic schizophrenia patients who have been hospitalized for a long time and improve the self-awareness of patients.
作者
蔡玲
王素芬
CAI Ling;WANG Sufen(Nanchong Mental Health Center of Sichuan Province,Nanchong 637000,China)
出处
《中国全科医学》
CAS
北大核心
2021年第S02期231-233,共3页
Chinese General Practice
关键词
精神分裂症
利伯曼精神康复训练
长期住院
住院病人
自知力
精神康复
Schizophrenia
Lieberman mental rehabilitation training
Long-term hospitalization
Inpatients
Insight
Psychiatric Rehabilitation
