摘要
目的:探究集体心理治疗对康复期精神分裂症疗效及生活质量的影响。方法:选取2017年12月-2018年7月本院收治的康复期精神分裂症患者60例,查病案号按照单号双号将其分为对照组和试验组,各30例。对照组开展单纯药物治疗,试验组在对照组基础上开展集体心理治疗。比较两组治疗前后的生活质量评分、简明精神病评定量表(BPRS)、治疗态度问卷表(ITAQ)及功能大体评定量表(GAF)评分,满意度、疗效、服药依从性。结果:试验组总满意度为96.67%,高于对照组的73.33%(P<0.05);试验组治疗总有效率为96.67%,高于对照组的76.67%(P<0.05);治疗后,试验组各项生活质量评分、ITAQ及GAF评分均高于对照组,BPRS评分低于对照组,比较差异均有统计学意义(P<0.05);试验组总依从率为96.67%,高于对照组的70.00%(P<0.05)。结论:对康复期精神分裂症患者开展集体心理治疗,可提高患者的治疗效果,提升患者满意度,改善生活质量,提高BPRS、ITAQ、GAF评分以及服药依从性,值得临床研究。
Objective:To explore the effect of collective psychotherapy on the efficacy and quality of life of rehabilitation period schizophrenia.Method:60 patients with rehabilitation period schizophrenia in our hospital from December 2017 to July 2018 were selected.The medical record number were checked,according to the single number and double number,they were divided into control group and experimental group,30 cases in each group.The control group was treated with drugs alone,while the experimental group was treated with collective psychotherapy on the basis of control group.The scores of quality of life,brief psychiatric rating scale(BPRS),insight and therapy attitude question scale(ITAQ)and general assessment of function scale(GAF)before and after treatment,satisfaction,curative effect and medication compliance between two groups were compared.Result:The total satisfaction rate of experimental group was 96.67%,which was higher than 73.33%of control group(P<0.05).The total effective rate was 96.67%in experimental group,which was higher than 76.67%in control group(P<0.05).After treatment,the scores of quality of life,ITAQ and GAF in experimental group were higher than those of control group,and the BPRS scores was lower than that of control group,the differences were statistically significant(P<0.05).The total compliance rate of experimental group was 96.67%,which was higher than 70.00%of control group(P<0.05).Conclusion:Collective psychotherapy for patients with rehabilitation period schizophrenia can improve the treatment effect of patients,improve the satisfaction of nursing,improve the quality of life,improve the scores of BPRS,ITAQ,GAF and the compliance of medication,it is worthy of clinical investigation.
作者
刘世中
廖国俊
黄志军
李江
高兰
LIU Shizhong;LIAO Guojun;HUANG Zhijun(The Third People’s Hospital of Yichun City,Yichun 336000,China)
出处
《中国医学创新》
CAS
2018年第35期61-64,共4页
Medical Innovation of China
关键词
集体心理
康复期精神分裂症
疗效
生活质量
Collective psychology
Rehabilitation period schizophrenia
Efficacy
Quality of life
