摘要
目的 :探索家庭照料者认知团体心理治疗干预对社区慢性精神分裂症患者康复的效果。方法 :在社区慢性精神分裂症患者家庭中招募80名密切接触患者的照料者。分为干预组(40名)和对照组(40名)。对对照组的照料者实施常规康复指导和健康教育,对干预组是在对照组干预基础上,对照料者增加认知团体心理治疗。分别于干预前、干预完成时、干预6个月后测量阳性和阴性症状量表(PANSS)、社会功能缺陷筛选量表(SDSS)、日常生活能力量表(ADL)来评估干预的效果。结果 :在干预前和干预完成时,两组家庭的精神分裂症患者之间的PANSS、SDSS、ADL等量表及其因子平均得分均无显著差异(P>0.05),而在干预6个月后,干预组家庭患者在PANSS的阴性量表分因子、SDSS、ADL量表因子的平均得分均低于对照组(P均<0.05)。干预组的PANSS的阴性量表分因子和ADL量表躯体生活因子均比干预前有明显降低(P均<0.05),SDSS、ADL量表的工具性日常生活因子和ADL总分的平均得分比干预前和干预完成时都有明显降低(P均<0.05)。结论 :认知团体心理治疗干预家庭照料者对该家庭精神分裂症患者康复的近期影响有限,但具有改善患者阴性症状控制、生活功能的远期效果。家庭照料者所提供的积极康复氛围是社区精神分裂症患者远期康复的影响因素。
Objective： To explore the effect of cognition group psychotherapy intervention of family caregivers on community mental rehabilitation of chronic schizophrenic patients. Methods： In the community chronically schizophrenic families 80 closely contact caregivers were recruited and divided into an intervention group and a control group with 40 cases each. The routine rehabilitation and health education were implemented for the caregivers in the control group and on the basis of the intervention of the control group and the caregivers in the intervention group were added cognitive group psychotherapy training. Before intervention, when intervention was completed and after 6 months of the intervention, measurement of positive and negative symptom scale （PANSS）, social disability screening scale （SDSS） and activity of daily living scale （ADL） were used to evaluate the effect of intervention. Results： Before intervention and at completion of intervention, there were no significant differences in the scores of PANSS, SDSS, ADL and the average scores between the two groups of schizophrenic patients（P〉0.05）. After 6 months of intervention, the average scores of PANSS negative subscale, SDSS and ADL scale factors in the intervention group were lower than those in the control group（P〈0.05）. The PANSS negative scale factor and Somatic life factor of ADL of the intervention group were lower than before the intervention（P〈0.05）. The instrumental daily life factors of SDSS and ADL scales and average score of ADL total score decreased significantly before the intervention and at interventioncompletion（P〈0.05）. Conclusion： The cognitive group psychological intervention of the family caregivers on patients with schizophrenia has limited impact, but it has long-term effect on controlling the negative symptoms, and improving living function of the patients. The positive rehabilitation atmosphere provided by the family caregivers is the influence factor for the long-term rehabilitation of patients with schizophrenia in the community.
出处
《上海医药》
CAS
2017年第16期56-59,62,共5页
Shanghai Medical & Pharmaceutical Journal
基金
上海市浦东新区卫生和计划生育委员会科技发展专项基金(PW2015C-8)
关键词
精神分裂症
家庭照料者
认知团体心理治疗
康复
schizophrenia
family caregivers
cognitive group psychotherapy
rehabilitation
