综合性心理行为干预对住院精神分裂症患者生活质量的影响

The effects of comprehensive psychological and behavioral intervention on quality of life of inpatients with schizophrenia

目的探讨综合心理行为干预对住院精神分裂症患者生活质量的影响。方法将126例首发精神分裂症住院患者随机分为综合干预组(62例)和对照组(64例),两组在利培酮治疗的同时,对干预组给予综合心理行为干预,观察时间为8周,出院后随访1年。用阴性、阳性症状评定量表(PANSS)、生活质量量表(WHO,QOL-100)进行评估。结果1年末随访时两组精神分裂症阴性、阳性症状及PANSS总分均有改善,但干预组明显优于对照组;病人的生活质量两组均有改善,但干预组在生活质量总评、心理领域、独立性领域及社会关系领域的改善显著好于对照组。结论对住院精神分裂症患者开展院内综合性心理行为干预措施,更能改善患者的生活质量,有利于患者重返社会。

Objective To study the effects of comprehensive psychological and behavioral intervention on life quality of inpatients with schizophrenia. Methods 126 inpatients with schizophrenia were randomly divided into intervention group （ n = 62） and control group （ n = 64）. Apart from antilpsychotic medication （Risperidone）, the intervention group received psychological and behavioral help for 8 weeks. Both groups were assessed after one year of discharge. The assessments included PANSS, WHO QOL- 100. Results Compared with the records when discharged, the total scores were improved in both groups after one- year follow- up. The positive scores, the negative scores and the total scores of PANSS in the intervention group had greater improvement than the control group. Quality of life resulted in the same scores in the two groups. Conclusion Psychosocial and behavioral help in hospital can benefit schizophrenic inpatients after their discharge.