阅读疗法对恢复期精神分裂症患者社会功能的影响

A Controlled Study of Bibliotherapy on Social Function of Schizophrenia Patients at Convalescent Stage

目的探讨阅读疗法对恢复期精神分裂症患者社会功能的影响。方法在药物治疗的基础上,观察组60例恢复期精神分裂症患者实施阅读疗法,对照组60例恢复期精神分裂症患者给予一般的心理支持治疗。两组患者分别于入组时、入组8周时、入组16周时用康复状态量表(MRSS)、社会功能缺陷筛选量表(SDSS)、护士用住院患者观察量表(NOSIE-30)、日常生活能力量表(ADL)进行社会功能评定。结果入组时两组间MRSS、NOSIE-30、SDSS、ADL评分比较,差异无统计学意义(P>0.05);入组8周时观察组MRSS、NOSIE-30、SDSS、ADL评分与对照组比较,差异有统计学意义(P<0.05或P<0.01);入组16周时观察组MRSS、NOSIE-30、SDSS、ADL评分与对照组比较,差异有统计学意义(P<0.01)。结论阅读疗法对恢复期精神分裂症患者社会功能的改善效果肯定,是精神分裂症患者回归社会的有效途径。

Objective To explore the effects of bibliotherapy on the social function of schizophrenia patients at convalescent stage. Methods Both groups maintained antipsychotic treatment, the research group （60 cases） received additional bibliothera- py,while the control received common psychotherapy both for 3 months;MRSS, SDSS, NOSIE-30 and ADL were used to evaluate social function before and after 8,16-weeks treatment respectively. Results Between the two groups, the scores of MRSS, SDSS, NOSIE-30 and ADL had no significant difference before treatment（ P 〉 0.05 ） , but had significant difference after the treatment of 16 weeks（P 〈 0.01 ）. Conclusion Bibliotherapy can improve the social function of the patients with schizophrenia at convales- cent stage.