摘要
目的:观察智能电针联合认知行为干预对精神分裂症患者自我效能感的影响。方法:选取本院收治的108例精神分裂症患者,随机分为2组各54例。2组均采用常规药物联合智能电针进行治疗。治疗期间对照组给予常规干预:指导患者用药,并嘱咐其谨遵医嘱,向患者家属强调家庭照护与心理疏导的重要性。观察组则给予认知行为干预,2组均连续治疗3月。采用阳性与阴性症状量表(PANSS)、一般自我效能感量表(GSES)、中医证候量表、精神分裂症患者生活质量量表(SQLS)等比较2组的治疗效果及治疗前后患者自我效能感与生活质量。结果:与治疗前比较,治疗后2组阳性症状、阴性症状、一般精神病理评分及P ANSS总分均下降,且观察组均低于对照组,差异均有统计学意义(P<0.05,P<0.01)。与治疗前比较,治疗结束后与治疗结束后3月后2组GSES评分均显著升高,且观察组均著高于对照组,差异均有统计学意义(P<0.01)。与治疗前比较,治疗结束后与治疗结束后3月2组中医证候量表评分均下降,且观察组均低于对照组,差异均有统计学意义(P<0.01)。与治疗前比较,治疗后观察组心理社会、动机/精力、症状/副反应评分及SQLS总分均下降,且观察组低于对照组,差异均有统计学意义(P<0.01)。结论:智能电针联合认知行为干预能有效缓解精神分裂症患者的临床症状,在提升其自我效能感的同时改善其生活质量,临床疗效良好。
Objective：To observe the effect of intelligent electroacupuncture combined with cognitive behavior intervention on self-efficacy of patients with schizophrenia.Methods：Selected 108 cases of patients with schizophrenia hospitalized in our hospital,and divided them into two groups randomly,54 cases in each group.Both groups received routine medicine combined with intelligent electroacupuncture for treatment.During treatment,the control group was given the routine intervention,including instructing patients on the drug using,enjoining them to follow the doctor＇s advice and emphasizing the importance of family care and psychological counseling to the family members of patients,while the observation group was given the cognitive behavior intervention.The treatment for both groups lasted for 3 months.Adopted the positive and negative syndrome scale（PANSS）,general self-efficacy scale（GSES）,Chinese medicine syndrome scale and schizophrenia quality of life scale（SQLS）to compare the clinical effect,self-efficacy and quality of life in both groups before and after treatment.Results：After treatment,the scores of positive symptoms,negative symptoms,general psychopathology and the total scores of PANSS in both groups were lower than those before treatment,and the observation group was lower than the control group,differences being significant（P〈0.01,P〈0.05）.After treatment and 3 months after treatment,GSES scores in both groups were significantly higher than those before treatment,and the observation group was higher than the control group,differences being significant（P〈0.01）.After treatment and 3 months after treatment,scores of Chinese medicine syndrome scale in both groups were all lower than those before treatment,and the observation group was lower than the control group,differences being significant（P〈0.01）.After treatment,the scores of psychological society,motive/energy,symptoms/adverse rections and the total scores of SQLS in the observation group were respectively lower than those before treatment,and the observation group was lower than the control group,differences being significant（P〈0.01）.Conclusion：Intelligent electroacupuncture combined with cognitive behavior intervention can effectively release the clinical symptoms of patients with schizophrenia,promote their self-efficacy and improve their quality of life,which has a good clinical effect.
作者
刘晓利
刘书莲
李聪慧
丁慧琴
LIU Xiaoli;LIU Shulian;LI Conghui;DING Huiqin
出处
《新中医》
CAS
2018年第6期199-202,共4页
New Chinese Medicine
基金
河南省卫计委科研项目(wjlx2016213)
