摘要
[目的]探讨改良森田疗法对康复期精神分裂症病人的康复疗效。[方法]将康复期慢性精神分裂症病人116例随机分成治疗组与对照组,治疗组采用改良森田疗法和一般治疗,对照组给予一般治疗。于治疗前及治疗后分别用简明精神病评定量表(BPRS)、阴性症状评定量表(SANS)及护士用住院病人观察量表(NOSIE)进行疗效评定。[结果]治疗组治疗后NOSIE总分、BPRS总分及SANS量表总分与对照组比较,差异有统计学意义(P<0.05或P<0.01);两组比较,SANS各因子分,BPRS中焦虑抑郁及缺乏活力因子分,NOSIE中社会能力、社会兴趣、个人整洁、迟缓因子,差异均有统计学意义(P<0.05或P<0.01);治疗组治疗前后各量表多个因子分比较差异亦有统计学意义(P<0.05或P<0.01)。[结论]改良森田疗法能有效地改善康复期精神分裂症者的阴性症状和促进其社会康复。
Objective： To probe into the rehabilitation effect of improved Morita therapy for schizophrenia patients in rehabilitation period. Methods：A total of 116 chronic schizophrenia patients in rehabilitation period were randomly divided into treatment and control group. Patients of treat- ment group received improved Morita therapy and general treatment, while patients in control group received only general treatment. Then curative effect of all eases were evaluated by adopting brief psyehiatric rating scale （BPRS） ,scale for the assessment of negative symptoms （SANS）,and nurses observation scale for inpatient evaluation （NOSIE） before and after treatment. Results： In terms of the total scores of NOSIE, BPRS and SANS, there were significant statistical differences between patients of treatment group and control group, and treatment group patients between before and after treatment （P〈0.05 or P〈0.01）. Comparing between the two group cases, there were statistical significant differences in terms of scores of each factors in SANS,scores of anxiety and depression and lack of active factors in BPRS, and scores of social competence, social interests, personal cleanliness, retardation factors in NOSIE （P〈0.05 or P〈0.01）. In terms of various factors of each scale of treatment group patients, there were statistical significant differences between before and after treatment （P〈0.05 or P〈0.01）. Conclusion：Improved Morita therapy could improve the negative symptoms of schizophrenia in rehabilitation period and promote their social rehabilitation.
出处
《护理研究（下旬版）》
2009年第6期1629-1631,共3页
Chinese Nursing Researsh
关键词
改良森田疗法
精神分裂症
康复
improved Morita therapy
schizophrenia
rehabilitation
