绘画治疗在精神分裂症康复期的应用

The application of painting therapy in the convalescence of schizophrenia

目的:探讨绘画治疗在精神分裂症康复期应用的效果。方法:本研究采用单纯随机对照研究设计。把云南省玉溪市第二人民医院96例符合《中国精神障碍分类与诊断标准》的康复期精神分裂症患者随机分为研究组和对照组,每组48名。两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,研究组在进行常规的治疗护理的基础上进行绘画治疗,共治疗6个月。于治疗前及治疗后使用Morning Side康复状态量表(MRSS)、社会功能缺陷筛选量表(Social Disability Screening Schedule,SDSS)和生活质量综合评定问卷(GenericQuality of Life Inventory-74,GQOLI-74)对两组患者进行评估。结果:治疗6个月后,研究组MRSS评分低于对照组[(33.52±16.38)vs(45.12±17.91);P<0.05];研究组SDSS评分低于对照组[(7.52±1.73)vs(10.89±1.52);P<0.05];研究组GQOLI-74评分中躯体功能、心理功能和社会功能维度评分显著升高(P<0.05)。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、改善生活质量。

Objective：To explore the effect of painting therapy in the convalescence of schizophrenia.Methods：This study adopted simple randomized controlled design.Totally 96 patients with schizophrenia of the Second People＇s Hospital in Yuxi City of Yunnan which accorded with the diagnostic criteria of mental disorders of China were randomly assigned to patient group and control group.Each group had 48 patients for 6 months treatment.The patient group received the painting therapy and conventional curative care;the control group received conventional curative care only.The Morning Rehabilitation status scale（MRSS）、Social Disability Screening Schedule（SDSS） and Generic Quality of Life Inventory-74（GQOLI-74） were used to assess the two groups before and after the treatment.Results： After 6 months of treatment,the MRSS scores in the patient group decreased significantly[（33.52±16.38） vs.（45.12±17.91）;P〈0.05].The SDSS scores in the patient group decreased significantly[（7.52±1.73） vs.（10.89±1.52）;P〈0.05].In the patient group,The scores of the dimension of physical、mental and social function in the GQOLI-74 were higher than that in control group（P〈0.05）.Conclusions： Painting therapy is effective in promoting rehabilitation of schizophrenia patients,restoring their social function and improving their quality of life.