综合心理干预对康复期精神分裂症患者预后的影响

目的 探讨综合心理干预对康复期精神分裂症患者预后的影响.方法 将120例康复期精神分裂症患者随机分为两组,每组60例,两组均常规单一应用抗精神病药物治疗及常规护理,干预组在此基础上给予综合心理干预,观察24周.于综合心理干预前及干预6周、12周、18周、24周末采用阳性与阴性症状量表和大体评定量表评定临床疗效,自知力与治疗态度问卷评定自知力状况;于综合心理干预前及干预12周、24周末采用社会功能缺陷筛选量表评定社会功能.结果 治疗与干预后,两组阳性与阴性症状量表、自知力与治疗态度问卷、社会功能缺陷筛选量表评分均持续性下降,干预24周末干预组较对照组下降更显著(P＜0.05或0.01),而大体评定量表评分两组均呈持续性升高,干预24周末干预组较对照组升高更显著(P＜0.05或0.01).结论 综合心理干预可促进康复期精神分裂症患者自知力的恢复,显著改善精神症状和心理健康状况,提高社会功能和生活质量,有利于患者的全面康复.

The effect of comprehensive psychological intervention on prognosis of convalescence schizophrenics

Objeceive To explore the effect of comprehensive psychological intervention （CPI） on prognosis of convalescence schizophrenics. Methods 120 schizophrenics were randomly assigned to two groups of 60 patients each, both groups received single antipsychotic treatment and routine nursing, intervention group was plus CPI for 24 weeks. Clinical efficacies were assessed with the Positive and Negative Syndrome Scale （PANSS） and Global Assessment Scale （GAS） before intervention and at the end of the 6^th, 12^th , 18^th and 24^th week and insight status with the Insight and Treatment Attitude Questionnaire （ITAQ） ; social functions were assessed with the Social Disability Screening Schedule （SDSS） before intervention and at the end of the 12^th and 24^th week. Results After treatment and intervention, the PANSS, ITAQ and SDSS scores of both groups lowered continuously, those did more significantly in the intervention than in control group at the end of the 24＊h week （P〈0.05 or 0.01）, but GAS scores increased continuously and did more significantly in the intervention than in control group at the end of the 24^th week （P〈0.05 or 0.01）. Conclusion CPI can promote insight recovery of convalescence schizophrenics, promove mental symptoms and mental health status notably, increase social function and quality of life, and makes for patients＇ comprehensive rehabilitation.