摘要
目的探讨阳性强化行为疗法对住院慢性精神分裂症患者社会功能衰退的影响。方法对病程5年以上，以阴性症状为主的慢性精神分裂症患者，采用阳性强化疗法进行康复训练。并采用“护士用住院病人观察量表”评分（NOSIE评分），在训练前后进行评定。结果康复训练后．实验组NOSIE评分中社会能力、个人整洁、激惹、迟缓4个因子得分在第2、3、4次评定，抑郁因子得分在第3、4次评定时与对照组比较差异均有统计学意义（P〈0．01），社会兴趣、精神病2个因子得分有改善，但差异无统计学意义（P〉0．05）。结论阳性强化行为疗法能够提高慢性精神分裂症患者的生活质量，改善社会功能退缩。
Objective To explore the effect of positive reinforcement on chronic schizophrenia with deterioration of social funcxon. Methods The patients mairdy with negative Symptoms having been illed for more than 5 years were given positive reinforcement, and were assessed before and after the rehabilitation with NOSIE. Results After rehabilitation. The mark of NOSIE of two groups at 2.3 and 4 times in 4 factors such as social competence, personal neatness,irritabitity and retardation has significant difference, so did the mark of 3 and 4 times in depressive faetors（P 〈0.01 ）. There is no different between two groups in factors of social interest and psychosis （ P 〉 0. 05 ）. Conclusion It is suggested that the positive reinforcement is effective in ameliorating the life quality and social function.
出处
《医学综述》
2009年第12期1888-1890,共3页
Medical Recapitulate
关键词
阳性强化
慢性精神分裂症
生活质量
Positive reinforcement
Chronic schizophrenia
Life quality
