改良森田疗法对住院精神分裂症的康复效果评价

Effect of Modified Morita Therapy on Rehabilitation of Patients with Chronic Schizophrenia

目的探讨改良森田疗法对住院精神分裂症康复治疗的效果。方法采用随机抽样方法把64例住院精神分裂症患者分为实验组和对照组各32例,在治疗前和治疗10周末时用简明精神病评定量表(BPRS)、阴性症状评定量表(SANS)、临床疗效总评量表(CGI-GL)进行疗效评定。于治疗前及10周末用生活质量综合评定问卷(GQOLI-74)评定生活质量。结果两组于第10周末BPRS、SANS、CGI-GL评分降低,与治疗前比较具有统计学意义,实验组(t=9.09,9.95,9.17;P<0.01),对照组(t=5.65,4.15,4.07;P<0.01),但实验组改善程度明显优于对照组(t=4.77,5.66,4.98;P<0.01)。两组在治疗10周后GQOLI-74各因子(社会功能维度、物质生活维度、心理功能维度、躯体功能维度)与治疗前比较有改善:实验组(t=5.45,10.36,10.54,21.69;P<0.01),对照组(t=3.66,5.07,6.65,8.62;P<0.01),但实验组改善程度明显优于对照组(t=2.97,5.20,4.40,11.27;P<0.01)。结论改良森田疗法能进一步改善住院精神分裂症患者的精神症状,并且能显著提高患者的生活质量,促进社会康复。

Objective To investigate the effect of modified Morita therapy on rehabilitation of patients with chronic schizophrenia . Methods Adopting the method of random sampling ,64 cases of hospitalized patients with chronic schizophrenia were divided into experimental group and control group with 32 cases in each group ,32 cases in experimental group combined with improved Morita Nori .Before treatment and after 5 and 10 weeks,the Brief Psychiatric Rating Scale（BPRS）,the scale for assessment of negative symptoms （SANS）, Clinical Global Impression Scale （ CGI -GL） were used to evaluate the efficacy .Before treatment and 10 weekend ,general quality of life inventory（GQOLI -74） quality of life were used to assess the quality of life .Results After fifth and tenth weeks,BPRS,SANS,CGI -GL score decreased in both groups （t=9.09,9.95,9.17;P〈0.01;t=5.65,4.15,4.07;P〈0.01）,however,the improvements in the experiment group were much better than those in the control group （t=4.77,5.66,4.98;P〈0.01）,After 10 weeks,GQOLI -74 score improved in both groups（t=5.45,10.36,10.54,21.69;P〈0.01;t=3.66,5.07,6.65,8.62;P〈0.01）,however,the improvements in the experiment group were much better than those in the control group （t=2.97,5.20,4.40,11.27;P〈0.01）.Conclusion Morita therapy can improve schizophrenic symptoms on the improvement of hospitalized patients with chronic schizophrenia ,and improve the patient＇s quality of life,promote social rehabilitation .