陶艺编织行为治疗对精神分裂症患者康复的影响

Influence of pottery and weaving behavior therapy on rehabilitation of patients with schizophrenia

目的探讨陶艺编织行为治疗对精神分裂症患者康复的影响。方法选取60例符合CCMD-3精神分裂症诊断标准的住院患者作为研究对象，随机分为干预组和对照组，两组患者同时均服用抗精神病药物治疗，干预组进行陶艺编织行为治疗，对照组仅给予常规护理。在陶艺和编织行为治疗前和治疗12周后，分别用精神科护士观察住院患者量表（NOSIE-30）进行评定并比较。结果两组患者在陶艺和编织行为治疗前，NOSIE-30评分7个因子分（即社会能力、社会兴趣、个人整洁、激惹、精神病表现、抑郁、迟缓因子分）和3个总分无统计学意义（P〉0．05）。陶艺和编织行为治疗12周后干预组NOSIE-30评分：干预组病情总估计分（173．13±13．18），总积极分（78．87±8．45），社会能力（30．93±4．71）、社会兴趣（25．00±2．67）、个人整洁因子（22．93±3．27）明显高于对照组，具有统计学意义（P〈0．01），干预组激惹（14．20±2．85）、抑郁（6．27±3．23）、迟缓因子（14．33±2．47），明显低于对照组，具有统计学意义（P〈0．01）。结论陶艺和编织行为治疗促进了精神分裂症患者社会功能的恢复，改善了其部分症状，对精神分裂症患者的康复有一定辅助作用。

Objective To explore the influence of pottery and weaving behavior therapy on rehabilitation of patients with schizophrenia. Methods 60 inpatients accorded with the diagnosis standard of CCMD-3 schizophrenia were selected as the research object, and were randomly divided into the intervention group and the control group. The antipsyehotic therapy was adopted in the two groups. The intervention group received the pottery and weaving behavior therapy, and the control group only received the routine nursing. Before and 12 weeks after the pottery and weaving behavior therapy, the patients were assessed and compared with NOSIE-30 （nurse observation scale for inpatient evaluation-30）. Results Before the pottery and weaving behavior therapy, there was no statistical meaning in the scores of 7 factors （ society ability, society interest, personal neatness, irritable bowel, representation of schizophrenia, depression and tardy factor） and the 3 total scores （P 〉0. 05） in patients of the two groups. 12 weeks after the pottery and weaving behavior therapy, the scores of NOSIE-30 in the intervention group were as follows, the total estimated score of disease station of （173.13±13.18）, the total active score of （78.87±8.45）, the society ability of （30.93±4.71）, the society interest of （25.00±2.67） and the personal neatness factor of （22.93±3.27 ）. These scores were obviously higher than those of the control group, with a statistical meaning （P 〈0.01 ）. While the scores of irritable bowel （14.20±2.85）, depression （6.27±3.23 ） and tardy factor （14.33±2.47） were obviously lower than those of the control group, with a statistical meaning （ P 〈 0. 01 ）. Conclusions The pottery and weaving behavior therapy improves the rehabilitation of society function of schizophrenia patients and ameliorates their part symptoms. So it has assistant function for rehabilitation of schizophrenia patients.