艺术治疗在精神分裂症患者康复期应用的研究

Effect of art therapy on schizophrenia patients' rehabilitation

目的探讨艺术治疗对精神分裂症患者康复效果的影响。方法对接受艺术治疗的60例康复期精神分裂症患者进行观察,并与60例非接受艺术治疗的康复期精神分裂症患者进行对照。2组均继续接受系统的抗精神病药物治疗。对照组进行常规的治疗护理,而观察组在此基础上进行艺术治疗。随访。采用康复状态量表(MRSS)、社会功能缺陷筛选量表(SDSS)、护士用住院病人观察量表(NOSIE-30)、日常生活能力量表(ADL)与入组时、出院时、出院1年时对2组患者进行评估,2组患者出院1年时进行生活质量综合评定问卷(GQOLI-74)的评定及复发例数的统计。结果观察组患者MRSS、SDSS、NOSIE-30、ADL、GQOLI-74和复发情况均优于对照组。差异有统计学意义。结论艺术治疗能有效地促进精神分裂症患者康复,恢复社会功能,提高自理能力,改善生活质量,降低复发率。

Objective： To explore the effect of art therapy on schizophrenia patients＇rehabilitation. Methods： Sixty cases of rehabilitation patients receiving art therapy were put in observation and compared with 30 cases of non-art therapy patients. The two groups continued to receive systematic antipsychotics. The control group underwent conventional curative care while the experimental group, on this basis, received art therapy. In follow-up study, patients＇ status in two groups, when they entered the group, when they discharged from the hospital and a year after their discharge, was assessed respectively by referring to ERSS, SDSS, NOSIE-30, and ADL. Also, patients in two groups were assessed by GQOLI-74 and recurrent cases were examined a year after they were discharged from the hospital. Results： Patients＇ condition in control group was superior to that in experimental group concerning ERSS, SDSS, NOSIE-30, ADL, GQOLI-74 and recurrences . The difference was statistically significant. Conclusion： Art therapy is effective in promoting rehabilitation of schizophrenia patients, restoring their social function, improving their quality of life and reducing recurrence rate.