摘要
目的探讨动态情境小组式社交技能训练在住院慢性精神分裂症(SP)患者中的应用效果.方法选取2021年2月—2022年2月于我院住院治疗的86例男性慢性SP患者,按随机数字表法分为两组,每组43例.对照组采用常规护理干预,观察组在此基础上进行动态情境小组式社交技能训练,均持续干预3个月.对比两组的症状评分、社会功能及生活质量.结果干预后,观察组的阴性症状自评量表中言语减少、社会退缩、情感减退、快感缺失、动机缺乏评分分别为(2.22±0.38)分、(2.10±0.42)分、(1.80±0.44)分、(2.09±0.42)分、(1.88±0.32)分,均低于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的精神分裂症患者生活质量量表中心理社会、症状及副作用、动力及精力评分分别为(16.44±3.01)分、(15.38±3.52)分、(15.02±2.31)分,均低于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的住院精神病人社会功能评定量表中日常生活能力、动性与交往情况、社会性活动技能评分分别为(9.76±0.86)分、(16.28±1.52)分、(12.30±1.26)分,均高于对照组,组间差异有统计学意义(P<0.05).结论动态情境小组式社交技能训练能减轻慢性SP患者的阴性症状,改善其社会功能,并提高生活质量.
Objective To explore the application effect of dynamic situation group social skill training in hospitalized patients with chronic schizophrenia(SP).Methods A total of 86 male patients with chronic SP hospitalized in our hospital from February 2021 to February 2022 were selected and were divided into two groups according to the random number table method,with 43 cases in each group.The control group received routine nursing intervention,and the observation group received dynamic situational group social skill training on this basis.The intervention lasted for 3 months in both groups.The symptom score,social function and quality of life of the two groups were compared.Results After intervention,the scores of speech reduction,social withdrawal,affective decline,anhedonia and lack of motivation of self-evaluation of negative symptoms in the observation group were(2.22±0.38)points,(2.10±0.42)points,(1.80±0.44)points,(2.09±0.42)points and(1.88±0.32)points,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of psychosocial,symptoms and side effects,motivation and energy of the schizophrenia quality of life scale in the observation group were(16.44±3.01)points,(15.38±3.52)points,(15.02±2.31)points,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of daily living ability,activity and communication,and social activity skills of scale of social function in psychosis inpatients in the observation group were(9.76±0.86)points,(16.28±1.52)points,(12.30±1.26)points,respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Dynamic situational group social skills training can alleviate negative symptoms,improve social function and improve quality of life in patients with chronic SP.
作者
朱怀雷
张梦璐
ZHU Huailei;ZHANG Menglu(Department of Psychiatry,You'an Hospital,Nanjing City,Jiangsu Province,Nanjing Jiangsu,211100,China)
出处
《反射疗法与康复医学》
2022年第19期164-167,共4页
Reflexology And Rehabilitation Medicine
