摘要
目的探讨基于人际关系模式的家庭访视对康复期精神分裂症患者社会适应能力恢复的临床效果。方法选取我院2014年3月~2017年3月经我院治疗后处于康复期的82例精神分裂症患者作为研究对象,采用随机数字表法分为观察组和对照组,每组各41例。两组患者均继续服用利培酮药物维持治疗,观察组患者在此基础上加以基于人际关系模式的家庭访视治疗,采用领悟社会支持量表(PSSS)、社会功能缺陷筛选量表(SDSS)、症状自评量表SCL-90以及Morningside康复状态量表(MRSS)对治疗前后两组患者的社会适应能力以及精神分裂症状情况进行比较分析。结果在社会适应能力方面,治疗后与对照组相比,观察组患者PSSS量表评分明显增加,SDSS和MRSS量表评分明显减少(P<0.05),而在症状改善方面,治疗后观察组患者人际关系敏感、焦虑、敌对以及偏执方面评分明显低于对照组(P<0.05),差异具有统计学意义。结论基于人际关系模式的家庭访视可以通过对个人家庭内关系和家庭外社会环境的适应进行指导和帮助,达到有效提高康复期精神分裂症患者病后对社会的适应能力,加强其人际交往能力的效果。
Objective To study the clinical effect of family visit based on the pattern of relationships in the factor of social adaptation ability convalescence for patients with schizophrenia in recovery stage. Methods To select 82 cases of patients with schizophrenia in recovery stage treated in our hospital from March 2014 to March 2017 as the research objects,and were divided into the observation group and control group by the random number table method,each group was 41 cases. Two groups of patients were continue to maintenance treatment with risperidone,on the basis of that the observation group patients were given family visit treatment based on the pattern of interpersonal relationship,and compared and analyzed the social adaptation and the symptoms of schizophrenia before and after the treatment of patients in two groups by the perceived social support scale（PSSS）,social dysfunction screening scale（SDSS）,the selfassessment lists of symptom SCL-90 and Morningside recovery scale（MRSS）. Results In terms of social adaptation ability,the comparison with the control group after treatment showed that the PSSS scale score of observation group was increased significantly,and the SDSS and MRSS scale scores were decreased significantly（P〈0.05）,while in terms of symptom improvement,the interpersonal sensitivity,anxiety,hostility and paranoid score of observation group after treatment were significantly lower than that of the control group（P〈0.05）,the difference was statistically significant. Conclusion The family visit based on the pattern of relationships can through the guide and help patients＇ adaptation to family relationship and social environment out of family to effectively improve the rehabilitation of schizophrenia patients after illness ability to adapt to society,then strengthen the effect of interpersonal skills.
作者
王海娟
顾伯美
安敏杰
燕松涛
肖秋霞
赵幸福
WANG Haijuan GU Bomei AN Minjie et al(Outpatient Dept. , Mental Hospital of Daxing District, Beijing 102600, China)
出处
《国际精神病学杂志》
2017年第5期890-893,共4页
Journal Of International Psychiatry
基金
衡水市科技支撑计划(编号:201410Z)
关键词
精神分裂症
康复期
人际关系
家庭访视
Schizophrenia
Convalescence
Interpersonal relationship
Family visit
