摘要
目的:探究基于目标执行理念的生活-社交技能训练疗法对精神分裂症住院患者康复效果影响。方法:选取2017年1月-2018年12月于笔者所在医院接受治疗的102例精神分裂症住院患者为受试对象,随机数字表法分为观察组与对照组,各51例。对照组予以常规护理,观察组在其基础上实施基于目标执行理念的生活-社交技能训练干预。比较两组干预前及干预3个月后临床症状[阳性与阴性症状量表(PANSS)]、情感表达能力[多伦多述情障碍量表(TAS)]、日常生活活动能力[日常生活量表(ADL)]、社会功能[社会功能缺陷筛选量表(SDSS)]及应对方式[简易应对方式量表(SCSQ)]变化情况。结果:干预3个月后,两组PANSS评分、TAS量表评分、ADL量表评分、SDSS量表评分均低于干预前,且观察组得分均低于对照组,差异均有统计学意义(P<0.05);干预3个月后,两组积极应对评分均高于干预前,消极应对评分均低于干预前,且观察组评分均优于对照组,差异均有统计学意义(P<0.05)。结论:基于目标执行理念的生活-社交技能训练疗法可明显改善精神分裂症阴性症状,提升患者情感表达能力及日常生活能力,且能显著改善其应对方式。
Objective:To explore the effects of life-social skills training therapy on the rehabilitation effects of inpatients with schizophrenia based on goal execution concept.Method:A total of 102 inpatients with schizophrenia who were treated in our hospital from January 2017 to December 2018 were selected as the study subjects.According to the random number table method,they were divided into the observation group and the control group,with 51 cases in each group.The control group was given routine nursing while the observation group was given life-social skills training intervention based on goal execution concept.The clinical symptoms [positive and negative symptom scale (PANSS)],emotional expression ability [Toronto alexithymia scale (TAS)],daily living activities [activities of daily living (ADL)],social function [social disability screening schedule (SDSS)] and coping styles [simplified coping style questionnaire (SCSQ)] were compared between the two groups before intervention and after 3 months of intervention.Result:Three months after intervention,the PANSS scores,TAS scale scores,ADL scale scores and SDSS scale scores of the two groups were lower than those before intervention,and the scores of the observation group were lower than those of the control group,the differences were statistically significant (P<0.05).Three months after intervention,the scores of positive response in the two groups were higher than those before intervention,the scores of negative response were lower than those before intervention,and the scores of observation group were better than those of control group,the differences were statistically significant (P<0.05).Conclusion:Life-social skills training therapy based on goal execution concept can significantly improve the negative symptoms of schizophrenia,enhance the emotional expression ability and daily living activities of patients,and can significantly improve the coping styles.
作者
舒代明
SHU Daiming(Qianjiang Mental Hospital,Qianjiang 433199,China)
出处
《中外医学研究》
2020年第10期150-153,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
