心理护理对慢性精神分裂症患者认知功能的影响

Effect of mental mursing in the treatment of Schizophrenia on cognition function

目的观察心理护理对慢性精神分裂症患者认知功能的影响。方法采用入院顺序分层随机法,将120例慢性精神分裂症患者平均分为研究组(心理护理+奋乃静)和对照组(单用奋乃静)治疗。在治疗前,治疗后4、8、12周末分别以阳性症状和阴性症状量表(PNASS)评定疗效,用韦氏成人智力量表(WAIS-R)、韦氏记忆量表(WMS)评定治疗前后患者认知功能的改变。结果治疗12周后,研究组的言语量表、操作量表、全量表和记忆量表分分别为84.97±3.73、80.41±5.93、83.37±5.81、77.26±13.31;对照组分别为75.41±3.95、72.43±5.56、75.87±5.34、72.15±13.19,两组有显著差异(P<0.01)。PANSS总分、阴性因子分比治疗前明显降低。结论心理护理治疗对精神分裂症患者认知功能有明显改善。

Objective To observe the cognition function of mental muming in the treatment of schizo- phrenia. Methods Being used the vendom control stady,60 in-patients with chyonic schizophreaia were divided into study gooup（ Mental mursing and perphenazine）and control group （perphenazine）. Effects and side effects were assessed with PANSS respectively WAIS-R, WMS were evaluated before treatment and after 4. 8.12 weeks treatment. Results After treating 12 turnovers, study the speech quantity form of the set and operate to measure the form,the whole quantity form and memories to measure the watch to distinguish for84.97± 3.73,80. 41± 5.93,83. 37 ± 5.81,77. 26 ± 13. 31 ;The matched control distinguishes for75.41 ± 3.95,72. 43± 5.56,75. 87 ± 5.34,72. 15 ±13. 19, two the sets show the difference of high（ P 〈 0. 01 ）. the todal scores of PANSS and the scores of negative factor were signficantly decreased. Conclusion It suggests that mental mursing, could improvve distinctly the cognition function of schizophrenia patients.